Organization
AUTISM SOLUTIONS OF TAMPA BAY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANTHONY R PAWLISZ MBA (CEO)
(813) 643-9669
Entity
Organization
Contact information
Practice address
2905 MOSSY TIMBER TRL, VALRICO, FL 33596-7949
(813) 643-9669
Mailing address
2905 MOSSY TIMBER TRL, VALRICO, FL 33596-7949
(813) 643-9669
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
L14000134355
FL
251S00000X
Community/Behavioral Health Agency
Primary
L14000134355
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
016104300
—
FL
Enumeration date
09/02/2014
Last updated
05/23/2016
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