Organization
CHILDREN & PARENTS ABA & COUNSELING CENTER CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIO J GONZALEZ FERNANDEZ M.D (CFO)
(813) 775-5429
Entity
Organization
Contact information
Practice address
4504 WISHART PL, TAMPA, FL 33603-2724
(813) 348-4814
(813) 348-0944
Mailing address
4504 WISHART PL, TAMPA, FL 33603-2724
(813) 348-4814
(813) 348-0944
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
05/01/2023
Last updated
05/01/2023
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