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Organization
PROGRESSIVE BEHAVIOR MANAGEMENT RES, INC.
Active
Organization
PROGRESSIVE BEHAVIOR MANAGEMENT RES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. STACEY DENISE SPARKMAN BCBA (OWNER/BCBA)
(813) 525-5468
Entity
Organization
Contact information
Practice address
628 E BLOOMINGDALE AVE, BRANDON, FL 33511-8111
(813) 525-5468
(813) 438-8903
Mailing address
220 W BRANDON BLVD, SUITE 210, BRANDON, FL 33511-5104
(813) 525-5468
(813) 438-8903
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
1-07-3280
FL
225X00000X
Occupational Therapist
Primary
OT 11898
FL
Other
Enumeration date
12/20/2011
Last updated
05/01/2014
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