Organization
A BEHAVIOR CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LIAMARELIS HURTADO HERNANDEZ (PRESIDENT)
(813) 778-8331
Entity
Organization
Contact information
Practice address
2630 W WATERS AVE STE B, TAMPA, FL 33614-2511
(813) 774-8331
Mailing address
2630 W WATERS AVE STE B, TAMPA, FL 33614-2511
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
11/15/2018
Last updated
11/15/2018
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