Provider Demographics
NPI:1326476060
Name:HOWE, ABIGAIL (BCBA)
Entity Type:Individual
Prefix:
First Name:ABIGAIL
Middle Name:
Last Name:HOWE
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6951 PISTOL RANGE ROAD
Mailing Address - Street 2:SUITE 101
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33635-9603
Mailing Address - Country:US
Mailing Address - Phone:904-619-6071
Mailing Address - Fax:
Practice Address - Street 1:6951 PISTOL RANGE ROAD
Practice Address - Street 2:SUITE 101
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33635-9603
Practice Address - Country:US
Practice Address - Phone:813-814-2007
Practice Address - Fax:813-814-2008
Is Sole Proprietor?:No
Enumeration Date:2013-10-16
Last Update Date:2014-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ILH00001582785222Q00000X
1-13-14504103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental Therapist