Provider Demographics
NPI:1326819996
Name:ABA BY THE BAY
Entity Type:Organization
Organization Name:ABA BY THE BAY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JILLIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:HARRIS
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA
Authorized Official - Phone:813-992-2905
Mailing Address - Street 1:2905 W PALMETTO ST
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33607-2914
Mailing Address - Country:US
Mailing Address - Phone:813-992-2905
Mailing Address - Fax:
Practice Address - Street 1:2905 W PALMETTO ST
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33607-2914
Practice Address - Country:US
Practice Address - Phone:813-992-2905
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:JF HARRIS LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-01-12
Last Update Date:2024-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty