Progressive Behavior Management Res, Inc.

NPI #1336418417 in Brandon, Florida

Provider Information

NPI Number: 1336418417
Entity Type: Organization
Organization Name: Progressive Behavior Management Res, Inc.
Primary Specialty: Occupational Therapist
Enumeration Date: Dec 20, 2011
Last Updated: May 1, 2014

Practice Location

Address: 628 E BLOOMINGDALE AVE
City: Brandon
State: Florida
ZIP Code: 33511-8111
Phone: (813) 525-5468

Authorized Official

Name: MS. STACEY DENISE SPARKMAN, BCBA
Title: OWNER/BCBA
Phone: (813) 525-5468

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Analyst	103K00000X
Occupational Therapist	225X00000X	Primary

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