Individual
BIANCA CAPO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCABA
Contact information
Practice address
4301 16TH STREET NORTH, ST.PETERSBURG, FL 33703-2050
(727) 576-7600
Mailing address
18288 N US HIGHWAY 41, LUTZ, FL 33549-4400
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
0199767
FL
106S00000X
Behavior Technician
—
—
Other
Enumeration date
02/17/2017
Last updated
10/12/2022
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