Provider Demographics
NPI:1417652835
Name:ALL BEHAVIOR COUNTS THERAPY
Entity Type:Organization
Organization Name:ALL BEHAVIOR COUNTS THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BCBA/OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:STEPHANIE
Authorized Official - Middle Name:D
Authorized Official - Last Name:BOLDEN
Authorized Official - Suffix:
Authorized Official - Credentials:MS
Authorized Official - Phone:813-512-1153
Mailing Address - Street 1:1543 TIGER TOOTH PL
Mailing Address - Street 2:
Mailing Address - City:RUSKIN
Mailing Address - State:FL
Mailing Address - Zip Code:33570-5459
Mailing Address - Country:US
Mailing Address - Phone:813-512-1153
Mailing Address - Fax:
Practice Address - Street 1:1543 TIGER TOOTH PL
Practice Address - Street 2:
Practice Address - City:RUSKIN
Practice Address - State:FL
Practice Address - Zip Code:33570-5459
Practice Address - Country:US
Practice Address - Phone:813-512-1153
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-04-04
Last Update Date:2023-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty
No261Q00000XAmbulatory Health Care FacilitiesClinic/CenterGroup - Multi-Specialty