ABA of Tampa Bay, Inc.

Key facts

NPI

1295067726

Entity type

Organization (NPI type 2)

Primary specialty

Community/Behavioral Health Agency 251S00000X

Legal business name

ABA OF TAMPA BAY, INC.

Practice address

3817 Cloverhill CT
Brandon, FL 33511-7937

Phone

(813) 571-8010

Fax

(813) 571-8010

NPI assigned

Feb 9, 2010

Organization subpart

No

Authorized official

Name

Mr. David J Shaw, M.S. NPI 1164686135

Title

President

Phone

(813) 571-8010

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• David J Shaw, M.S., BCBA Behavior Analyst · Brandon, FL · NPI 1164686135
  NPD (past) Authorized official
• Nicole Becker, BCABA Behavior Analyst · Brandon, FL · NPI 1851653851
  NPD (past)
• Heather Shaw, M.S. Occupational Therapist · Brandon, FL · NPI 1629343579
  NPD (past)

National Provider Directory

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Feb 9, 2010.

{
    "created_epoch": "1265673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265673600000",
    "number": "1295067726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3817 CLOVERHILL CT",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335117937",
            "telephone_number": "813-571-8010",
            "fax_number": "813-571-8010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3817 CLOVERHILL CT",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335117937",
            "telephone_number": "813-571-8010",
            "fax_number": "813-571-8010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABA OF TAMPA BAY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-09",
        "last_updated": "2010-02-09",
        "status": "A",
        "authorized_official_last_name": "SHAW",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "813-571-8010",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.S."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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All providers in Brandon, FL · Community/Behavioral Health Agency in Florida