NPI 1205314804 · live from the CMS NPI Registry
Advanced Behavior Center INC
Clinic/Center, Mental Health (Including Community Mental Health Center) in Tampa, FL. National Provider Identifier 1205314804, active.
NPI record
| NPI | 1205314804 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Clinic/Center, Mental Health (Including Community Mental Health Center) 261QM0801X |
| Practice location | 5108 N Habana Ave Ste 1&2, Tampa, FL 33614 |
| Practice phone | 813-533-0011 |
| Enumerated | August 6, 2018 |
| Last updated | January 28, 2020 |
| Authorized official | Gracilia Perez Fernandez, Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychologist | 103T00000X | — |
| Psychiatry & Neurology, Psychiatry | 2084P0800X | — |
| Clinic/Center, Community Health | 261QC1500X | — |
| Clinic/Center, Mental Health (Including Community Mental Health Center) primary | 261QM0801X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.