Provider Demographics
NPI:1477762326
Name:MCGHEE, TIMOTHY SEAN (BCBA)
Entity Type:Individual
Prefix:MR
First Name:TIMOTHY
Middle Name:SEAN
Last Name:MCGHEE
Suffix:
Gender:M
Credentials:BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:6965 AVENUE DES PALAIS
Mailing Address - Street 2:2A
Mailing Address - City:SOUTH PASADENA
Mailing Address - State:FL
Mailing Address - Zip Code:33707-2834
Mailing Address - Country:US
Mailing Address - Phone:727-410-6923
Mailing Address - Fax:727-347-0283
Practice Address - Street 1:6965 AVENUE DES PALAIS
Practice Address - Street 2:2A
Practice Address - City:SOUTH PASADENA
Practice Address - State:FL
Practice Address - Zip Code:33707-2834
Practice Address - Country:US
Practice Address - Phone:727-410-6923
Practice Address - Fax:727-347-0283
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TB0200XBehavioral Health & Social Service ProvidersPsychologistCognitive & Behavioral