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Organization
NEW TAMPA BEHAVIORAL HEALTH, INC.
Active
Organization
NEW TAMPA BEHAVIORAL HEALTH, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JONATHAN A WORCESTER PH.D., NCSP, BCBA-D (DIRECTOR)
(813) 382-2056
Entity
Organization
Contact information
Practice address
8532 CANTERBURY LAKE BLVD, TAMPA, FL 33619-6674
(813) 382-2056
(813) 200-3949
Mailing address
PO BOX 46206, TAMPA, FL 33646
(813) 382-2056
(813) 200-3949
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
MH 4942
FL
103K00000X
Behavior Analyst
Primary
1-03-1200
FL
103TS0200X
School Psychologist
SS 974
FL
252Y00000X
Early Intervention Provider Agency
—
FL
Other
Enumeration date
08/02/2006
Last updated
07/02/2011
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