Organization
OUTSIDE THE BOX ABA CONSULTATION, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEPHEN ENGEL BCBA (OWNER/DIRECTOR)
(813) 843-2858
Entity
Organization
Contact information
Practice address
14706 CACTUS WREN PL, TAMPA, FL 33625-1904
(813) 843-2858
Mailing address
14706 CACTUS WREN PL, TAMPA, FL 33625-1904
(813) 843-2858
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
018167200
—
FL
Enumeration date
12/16/2016
Last updated
12/16/2016
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