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MEMORIAL MEDICAL CENTER INC NPI 1285392985


NPI Information

NPI: 1285392985
Provider Name: MEMORIAL MEDICAL CENTER INC
Classification: Behavior Analyst - 103K00000X
Entity Type: Organization

CLIA Number: 10D2136846

Address:
8001 N DALE MABRY HWY STE 501
TAMPA, FL
ZIP 33614
Phone: (813) 915-5329
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MEMORIAL MEDICAL CENTER INC is a behavior analyst in Tampa, FL. The provider is a behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans. MEMORIAL MEDICAL CENTER INC NPI is 1285392985. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

8001 N DALE MABRY HWY STE 501
TAMPA, FL
ZIP 33614-265
Phone: (813) 915-5329
Fax: (813) 915-5236

The provider's authorized official is Mavys Huice .
The authorized official title is Owner and has the following contact phone number (813) 605-4725.

The CLIA number assigned to this NPI record is 10D2136846 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/30/2021 and was last updated on 11/30/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1103K00000XBehavior AnalystYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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