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Organization

APPLIED BEHAVIORAL LEARNING EXPERIENCES, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. STACEY LYN OSMON M.S. ED, BCBA (BEHAVIOR ANALYST)
(863) 581-1583
Entity
Organization

Contact information

Practice address
454 W PIPKIN RD, LAKELAND, FL 33813-2545
(863) 619-2809
(863) 646-9590
Mailing address
PO BOX 2112, LAKELAND, FL 33806-2112
(863) 581-1583
(863) 644-9590

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
261Q00000X
Clinic/Center

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
017634700
FL
05
687700196
FL
Enumeration date
12/02/2008
Last updated
08/22/2022
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