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Organization
TAMPA ABA THERAPY
Active
Organization
TAMPA ABA THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICK GOMEZ (OFFICE MANAGER)
(813) 670-3900
Entity
Organization
Contact information
Practice address
6604 WHITEWAY DR, TEMPLE TERRACE, FL 33617-3215
(813) 670-3900
Mailing address
6604 WHITEWAY DR, TEMPLE TERRACE, FL 33617-3215
(813) 670-3900
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
10/01/2018
Last updated
03/08/2019
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