Organization
ALEXANDER C. SMITH LCSW BCABA
Active
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
Update your record
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