Organization
ABA IN THE BAY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CECILIA PADILLA (OWNER)
(714) 450-0317
Entity
Organization
Contact information
Practice address
8574 TRAIL WIND DR, TAMPA, FL 33647-3497
(714) 450-0317
Mailing address
8574 TRAIL WIND DR, TAMPA, FL 33647-3497
(714) 450-0317
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
115070200
—
FL
Enumeration date
07/27/2023
Last updated
07/27/2023
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