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Organization
INTEGRATED ROOTS BEHAVIORAL THERAPY, LLC
Active
Organization
INTEGRATED ROOTS BEHAVIORAL THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. STEPHANIE L ZIELINSKI MA; BCBA (OWNER)
(727) 637-3100
Entity
Organization
Contact information
Practice address
1021 39TH AVE NE, ST PETERSBURG, FL 33703-5223
(727) 637-3100
Mailing address
1021 39TH AVE NE, ST PETERSBURG, FL 33703-5223
(727) 637-3100
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-10-7146
FL
251S00000X
Community/Behavioral Health Agency
—
—
252Y00000X
Early Intervention Provider Agency
—
—
Other
Enumeration date
08/14/2015
Last updated
08/09/2016
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