Organization
AUTISM BEHAVIOR THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BONNY LEE BIBEL MA, BCBA (BOARD CERTIFIED BEHAVIOR ANALYST)
(689) 308-8057
Entity
Organization
Contact information
Practice address
712 SECRET HARBOR LN UNIT 102, LAKE MARY, FL 32746-6497
(312) 351-1803
Mailing address
288 MARJORIE BLVD, LONGWOOD, FL 32750-4627
(689) 308-8057
(689) 215-0653
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
06/14/2021
Last updated
07/02/2024
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