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Organization
ADVANCED BEHAVIOR CENTER INC
Active
Organization
ADVANCED BEHAVIOR CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GRACILIA PEREZ FERNANDEZ (OWNER)
(813) 454-2252
Entity
Organization
Contact information
Practice address
5108 N HABANA AVE STE 1&2, TAMPA, FL 33614-6822
(813) 533-0011
Mailing address
5108 N HABANA AVE STE 1&2, TAMPA, FL 33614-6822
(813) 533-0011
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
2084P0800X
Psychiatry Physician
—
—
261QC1500X
Community Health Clinic/Center
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
08/06/2018
Last updated
01/28/2020
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