ADVANCED BEHAVIOR CENTER INC (NPI# 1205314804) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205314804 |
| Entity Type | Organization |
| Organization Name | ADVANCED BEHAVIOR CENTER INC |
| Practice Address |
5108 N Habana Ave Ste 1&2 Tampa FL 33614-6822 |
| Practice Telephone | 8135330011 |
| Mailing Telephone | 8135330011 |
| Enumeration Date | 2018-08-06 |
| Last Update Date | 2020-01-28 |
| Authorized Official Name | GRACILIA PEREZ FERNANDEZ (OWNER) |
| Authorized Official Telephone | 8134542252 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103T00000X | Psychologist | Behavioral Health & Social Service Providers | ||
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
Allopathic & Osteopathic Physicians | ||
| N | 261QC1500X |
Clinic/Center Specialization: Community Health |
Ambulatory Health Care Facilities | ||
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| Street Address |
5108 N HABANA AVE STE 1&2 |
| City | TAMPA |
| State | FL |
| Zip Code | 33614-6822 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134733082 | Robin Rollena Stewart | Home Health | 9537 Lazy Lane, Apt 302, Tampa, FL 33614 | 2020-09-08 |
| 1346885761 | David Joseph Page | Nurse Practitioner | St. Joseph's Behavioral Health Center, 4918 N. Habana Ave, Tampa, FL 33614 | 2019-11-08 |
| 1134687411 | Ramon Chang Adult Family Care Home LLC | Custodial Care Facility | 2607 W Humphrey St, Tampa, FL 33614 | 2019-03-06 |
| 1134600612 | Senior Point Assisted Living Facility, LLC | Assisted Living Facility | 2940 W Hillsborough Ave, Tampa, FL 33614 | 2018-08-23 |
| 1306361266 | Larry Valdes | Assisted Living Facility | 4402 W Minnehaha St, Tampa, FL 33614 | 2017-08-11 |
| 1982128062 | Jaime F Casellas Md Corp | Internal Medicine | 4600 N Habana Ave Suit #13, Tampa, FL 33614 | 2017-07-31 |
| 1891219119 | Waveney Gittens-williams | Alzheimer Center (Dementia Center) | 3706 W. Idle Wild Cir #203, Tampa, FL 33614 | 2017-07-28 |
| 1750811857 | Syerita Nicole Morris | Counselor | 6800 N Dale Marby Hwy, Ste 164, Tampa, FL 33614 | 2017-06-13 |
| 1447786124 | Lisa Moy | Case Manager/Care Coordinator | 4001 W. Dr. Martin Luther King Jr. Blvd., Tampa, FL 33614 | 2017-05-02 |
| 1750813804 | Joshua Martin Good | Physical Therapy Assistant | 3363 W. Waters Avenue, Suite 700, Tampa, FL 33614 | 2017-03-29 |
| Find all providers in zip 33614 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235730417 | Aspire Health Partners, Inc. | Clinic/Center | 4520 Oak Fair Blvd, Tampa, FL 33610-7356 | 2020-11-04 |
| 1609473370 | Aj Therapy Center Inc | Clinic/Center | 6800 N Dale Mabry Hwy Ste 150, Tampa, FL 33614-3979 | 2020-10-06 |
| 1265053698 | Eledhel Psychology | Clinic/Center | 611 W Bay St Ste 1h, Tampa, FL 33606-2703 | 2020-04-27 |
| 1336775733 | Life Balance Medical Group LLC | Clinic/Center | 4102 W Linebaugh Ave Ste 101, Tampa, FL 33624-5296 | 2020-03-17 |
| 1104457977 | Lara Health and Wellness Center LLC | Clinic/Center | 3105 W Waters Ave Ste 105, Tampa, FL 33614-2846 | 2020-01-30 |
| 1588204192 | Natalie Rosado | Clinic/Center | 7302 Sheldon Rd, Tampa, FL 33615-2327 | 2020-01-11 |
| 1003477662 | Embracing Changes Center for Wellness | Clinic/Center | 2203 N Lois Ave Ste 903, Tampa, FL 33607-2306 | 2019-06-25 |
| 1508324781 | Breakthrough Counseling Services, LLC | Clinic/Center | 3105 W Azeele St, Tampa, FL 33609-3089 | 2019-03-07 |
| 1013405281 | Crudup Psychological Services LLC | Clinic/Center | 10001 Cross Creek Blvd, Tampa, FL 33647-2581 | 2018-04-24 |
| 1346753134 | Mental Fitness Group, LLC | Clinic/Center | 8875 Hidden River Pkwy Ste 300, Tampa, FL 33637 | 2017-11-15 |
| Find all providers in TAMPA | ||||
Please comment or provide details below to improve the information on ADVANCED BEHAVIOR CENTER INC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.