Dr. Bobo, LLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

SS1069 Issued in FL

Legal business name

DR. BOBO, LLC

Practice address

820 Martin Luther King Jr Blvd
Sebring, FL 33870-3439

Phone

(330) 573-4722

NPI assigned

Apr 24, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Anthony BoboNPI 1487950887

Title

Owner/Chairman

Phone

(330) 573-4722

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Anthony Bobo

  • School Psychologist
  • Temple Terrace, FL
  • NPI 1487950887
  NPD (past) Authorized official

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

{
    "created_epoch": "1492992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492992000000",
    "number": "1982139341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7501 OKEECHOBEE CT",
            "city": "TEMPLE TERRACE",
            "state": "FL",
            "postal_code": "336377345",
            "telephone_number": "330-573-4722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 MARTIN LUTHER KING JR BLVD",
            "city": "SEBRING",
            "state": "FL",
            "postal_code": "338703439",
            "telephone_number": "330-573-4722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. BOBO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-24",
        "last_updated": "2017-04-24",
        "status": "A",
        "authorized_official_last_name": "BOBO",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_title_or_position": "OWNER/CHAIRMAN",
        "authorized_official_telephone_number": "330-573-4722",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "SS1069",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "017598200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Behavior Analyst in Sebring, FL
• Providers in Sebring, FL by specialty
• Behavior Analyst in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2017; 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.