Provider Demographics
NPI:1033403597
Name:CRIPE, MICHAEL M (BCBA)
Entity Type:Individual
Prefix:
First Name:MICHAEL
Middle Name:M
Last Name:CRIPE
Suffix:
Gender:M
Credentials:BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8010 PINE HILL DR
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33617-7602
Mailing Address - Country:US
Mailing Address - Phone:813-416-7741
Mailing Address - Fax:
Practice Address - Street 1:8010 PINE HILL DR
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33617-7602
Practice Address - Country:US
Practice Address - Phone:813-416-7741
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-01
Last Update Date:2011-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst