| Progressive Behavior Management Res, Inc. | |
|
628 E Bloomingdale Ave Brandon FL 33511-8111 | |
| (813) 525-5468 | |
| (813) 438-8903 |
| Full Name | Progressive Behavior Management Res, Inc. |
|---|---|
| Speciality | Occupational Therapist |
| Location | 628 E Bloomingdale Ave, Brandon, Florida |
| Authorized Official Name and Position | Stacey Denise Sparkman (OWNER/BCBA) |
| Authorized Official Contact | 8135255468 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Progressive Behavior Management Res, Inc. 220 W Brandon Blvd Suite 210 Brandon FL 33511-5104 Ph: (813) 525-5468 | Progressive Behavior Management Res, Inc. 628 E Bloomingdale Ave Brandon FL 33511-8111 Ph: (813) 525-5468 |
| NPI Number | 1336418417 |
|---|---|
| Provider Enumeration Date | 12/20/2011 |
| Last Update Date | 05/01/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336418417 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | 1-07-3280 (Florida) | Secondary |
| 225X00000X | Occupational Therapist | OT 11898 (Florida) | Primary |
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