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Organization
HIGHER ASPIRATIONS BEHAVIOR SERVICES, LLC
Active
Organization
HIGHER ASPIRATIONS BEHAVIOR SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRYSTAL A JACKMAN M.S., BCBA (CEO)
(813) 610-5186
Entity
Organization
Contact information
Practice address
10722 STANDING STONE DR, WIMAUMA, FL 33598-6163
(813) 610-5186
Mailing address
PO BOX 1564, RIVERVIEW, FL 33568-1564
(813) 610-5186
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001289800
MEDICAID WAIVER
FL
Enumeration date
05/18/2016
Last updated
05/18/2016
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