Applied Behavior Approaches of Tampa Bay Inc

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

1-09-5814 Issued in FL

Legal business name

APPLIED BEHAVIOR APPROACHES OF TAMPA BAY INC

Practice address

18946 North Dale Mabry
Lutz, FL 33548

Phone

(727) 241-0246

Fax

(727) 240-4720

NPI assigned

Jun 6, 2012

Last updated

Aug 5, 2021By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Robin Lane Dehainaut, M.A., BCBANPI 1629306972

Title

Owner; Board Certified Behavior Ana

Phone

(727) 241-0246

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Robin Lane Dehainaut, MA, BCBA

  • Behavior Analyst
  • Lutz, FL
  • NPI 1629306972
  NPD Authorized official
• Ariel Renee North

  • Behavior Technician
  • Lutz, FL
  • NPI 1043976780
  NPD
• Destinee Valery

  • Behavior Technician
  • Lutz, FL
  • NPI 1770205346
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1338940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628121600000",
    "number": "1174884134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1353 LOTUS PATH",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "33756",
            "telephone_number": "727-241-0246",
            "fax_number": "727-240-4720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18946 NORTH DALE MABRY",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "33548",
            "telephone_number": "727-241-0246",
            "fax_number": "727-240-4720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "APPLIED BEHAVIOR APPROACHES OF TAMPA BAY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-06",
        "last_updated": "2021-08-05",
        "certification_date": "2021-08-05",
        "status": "A",
        "authorized_official_last_name": "DEHAINAUT",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_middle_name": "LANE",
        "authorized_official_title_or_position": "OWNER; BOARD CERTIFIED BEHAVIOR ANA",
        "authorized_official_telephone_number": "727-241-0246",
        "authorized_official_credential": "M.A., BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "FL",
            "license": "1-09-5814",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "017420700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in Lutz, FL
• Providers in Lutz, FL by specialty
• Community/Behavioral Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.