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Organization
BAY HARBOR BEHAVIORAL ASSOCIATES INC.
Active
Organization
BAY HARBOR BEHAVIORAL ASSOCIATES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SARA GEDAJLOVIC MA, LMHC (CEO)
(727) 743-3483
Entity
Organization
Contact information
Practice address
930 SNELL ISLE BLVD NE, SAINT PETERSBURG, FL 33704-3830
(727) 743-3483
(727) 896-7272
Mailing address
930 SNELL ISLE BLVD NE, SAINT PETERSBURG, FL 33704-3830
(727) 743-3483
(727) 896-7272
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MH 3061
FL
103K00000X
Behavior Analyst
MH 3061
FL
251S00000X
Community/Behavioral Health Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
761456000
—
FL
05
—
761456096
—
FL
05
—
761456098
—
FL
Enumeration date
09/23/2010
Last updated
09/22/2011
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