Organization
BAY HARBOR BEHAVIORAL ASSOCIATES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SARA GEDAJLOVIC MA, LMHC (CEO)
(727) 743-3483
Entity
Organization
Contact information
Practice address
930 SNELL ISLE BLVD NE, SAINT PETERSBURG, FL 33704-3830
(727) 743-3483
(727) 896-7272
Mailing address
930 SNELL ISLE BLVD NE, SAINT PETERSBURG, FL 33704-3830
(727) 743-3483
(727) 896-7272
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MH 3061
FL
103K00000X
Behavior Analyst
MH 3061
FL
251S00000X
Community/Behavioral Health Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
761456000
—
FL
05
—
761456096
—
FL
05
—
761456098
—
FL
Enumeration date
09/23/2010
Last updated
09/22/2011
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