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Organization
WAVES BEHAVIORAL SOLUTIONS, LLC
Active
Organization
WAVES BEHAVIORAL SOLUTIONS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KRISTINA ASHLEE BEWLEY MA, BCBA (OWNER/BCBA)
(727) 348-2532
Entity
Organization
Contact information
Practice address
1260 W BAY DR STE B, LARGO, FL 33770-2249
(727) 641-0218
Mailing address
PO BOX 7606, CLEARWATER, FL 33758-7606
(727) 641-0218
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
019719700
—
FL
05
—
101881900
—
FL
Enumeration date
05/09/2018
Last updated
08/12/2024
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