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PATTERNS BEHAVIORAL SERVICES FLORIDA INC NPI 1740777556


NPI Information

NPI: 1740777556
Provider Name: PATTERNS BEHAVIORAL SERVICES FLORIDA, INC
Classification: Behavior Analyst - 103K00000X
Entity Type: Organization
Address:
12000 N DALE MABRY HWY STE 112
TAMPA, FL
ZIP 33618
Phone: (813) 333-5024
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PATTERNS BEHAVIORAL SERVICES FLORIDA, 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. PATTERNS BEHAVIORAL SERVICES FLORIDA, INC NPI is 1740777556. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

12000 N DALE MABRY HWY STE 112
TAMPA, FL
ZIP 33618-311
Phone: (813) 333-5024

The provider's authorized official is Ihab F Shahawi .
The authorized official title is Ceo and has the following contact phone number (657) 206-9594.

The enumeration date for this NPI number is 4/17/2018 and was last updated on 6/16/2018.


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
1106E00000XAssistant Behavior AnalystNo
2106S00000XBehavior TechnicianNo
3251S00000XCommunity/Behavioral HealthNo
4320900000XCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesNo
5103K00000XBehavior AnalystYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1022087100MEDICAIDFLORIDA

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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