Organization
BLUE PENINSULA ABA INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CARLOS ALBERTO NARANJO CALA LMHC, BCBA (PRESIDENT)
(786) 803-1498
Entity
Organization
Contact information
Practice address
4730 N HABANA AVE STE 303, TAMPA, FL 33614-7187
(813) 654-8707
(813) 640-2153
Mailing address
505 RUNNING HORSE RD, SEFFNER, FL 33584-4139
(813) 654-8707
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
09/14/2020
Last updated
07/22/2021
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