Autism Behavior Therapy LLC

NPI #1528636750 in Lake Mary, Florida

Provider Information

NPI Number: 1528636750
Entity Type: Organization
Organization Name: Autism Behavior Therapy LLC
Primary Specialty: Behavior Analyst
Enumeration Date: Jun 14, 2021
Last Updated: Jul 2, 2024

Practice Location

Address: 712 SECRET HARBOR LN UNIT 102
City: Lake Mary
State: Florida
ZIP Code: 32746-6497
Phone: (312) 351-1803

Authorized Official

Name: BONNY LEE BIBEL, MA, BCBA
Title: BOARD CERTIFIED BEHAVIOR ANALYST
Phone: (689) 308-8057

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Analyst	103K00000X	Primary

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