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Organization

ALEXANDER C. SMITH LCSW BCABA

Active
Other names
Assessment, Behavioral & Counseling Services
Organization subpart
No

Provider details

NPI number
Authorized official
ALEXANDER SMITH LCSW, CSSW, BCABA (EXECUTIVE DIRECTOR)
(813) 422-0073
Entity
Organization

Contact information

Practice address
8910 N DALE MABRY HWY, SUITE 12, TAMPA, FL 33614-1591
(813) 422-0073
Mailing address
8910 N DALE MABRY HWY, SUITE 12, TAMPA, FL 33614-1591
(813) 422-0073

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
0-07-2351
FL
104100000X
Social Worker
069781
NY
1041C0700X
Clinical Social Worker
Primary
SW11223
FL
1041S0200X
School Social Worker
977926
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1114268521
INDIVIDUAL NPI
FL
05
766714100
FL
01
HK291A
MEDICAIRE PTAN
FL
Enumeration date
04/09/2014
Last updated
04/09/2014
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