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Organization
APPLIED BEHAVIOR ANALYSIS SPORTS INNOVATIONS LLC
Active
Organization
APPLIED BEHAVIOR ANALYSIS SPORTS INNOVATIONS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MALLORY JOANNE QUINN PH.D., BCBA (OWNER)
(813) 786-0551
Entity
Organization
Contact information
Practice address
2907 CYPRESS BOWL RD, LUTZ, FL 33558-5040
(813) 786-0551
Mailing address
2907 CYPRESS BOWL RD, LUTZ, FL 33558-5040
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
10/23/2017
Last updated
10/23/2017
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