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Organization
PROGRESS PATH ABA THERAPY LLC
Active
Organization
PROGRESS PATH ABA THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAYLA RENEE ELLIS BCBA (OWNER)
(813) 514-5341
Entity
Organization
Contact information
Practice address
3311 77TH CT E, PALMETTO, FL 34221-2588
(813) 514-5341
Mailing address
3311 77TH CT E, PALMETTO, FL 34221-2588
(813) 514-5341
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
225XP0200X
Pediatric Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
02/28/2022
Last updated
02/28/2022
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