The Behavioral Mom, Inc

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-12-10039 Issued in FL

Legal business name

THE BEHAVIORAL MOM, INC

Practice address

1107 Crimson Clover LN
Wesley Chapel, FL 33543-6592

Phone

(813) 260-4913

Fax

(813) 756-1093

NPI assigned

Oct 24, 2012

Organization subpart

No

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

Authorized official

Name

Ms. Laura L Kulikowski, BCBA

Title

President

Phone

(813) 260-4913

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1351036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351036800000",
    "number": "1245583533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1107 CRIMSON CLOVER LN",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "335436592",
            "telephone_number": "813-260-4913",
            "fax_number": "813-756-1093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1107 CRIMSON CLOVER LN",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "335436592",
            "telephone_number": "813-260-4913",
            "fax_number": "813-756-1093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE BEHAVIORAL MOM, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-24",
        "last_updated": "2012-10-24",
        "status": "A",
        "authorized_official_last_name": "KULIKOWSKI",
        "authorized_official_first_name": "LAURA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "813-260-4913",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "1-12-10039",
            "primary": true
        },
        {
            "code": "222Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Developmental Therapist",
            "state": "FL",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Piue Tewary
• Marina Thacker
• Mrugesh Thakkar, MD
• Erykah M Tharpe
• The Back to Wellness Center LLC
• The Dysfunctional Dietitian
• Therapy & Wellness Services LLC
• Therapy Treatment Team LLC
• Therese Hulme Healthcare Inc
• Therese Hulme Healthcare Inc (Grace Family Primary Care)

• Behavior Analyst in Wesley Chapel, FL
• Providers in Wesley Chapel, FL by specialty
• Behavior Analyst in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2012; 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.