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Organization
OCEAN BLUE BEHAVIOR THERAPY INC
Active
Organization
OCEAN BLUE BEHAVIOR THERAPY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARIA EUGENIA ACOSTA DOMINGUEZ BCBA, ITDS. (OWNER)
(786) 278-8655
Entity
Organization
Contact information
Practice address
1137 BARTOW RD STE 207, LAKELAND, FL 33801-5828
(786) 278-8655
(863) 583-8955
Mailing address
4515 ASHFORD DR, WINTER HAVEN, FL 33880-1148
(786) 278-8655
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
252Y00000X
Early Intervention Provider Agency
—
—
Other
Enumeration date
10/31/2023
Last updated
01/23/2025
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