Provider Demographics
NPI:1487021077
Name:BARTLEY, JOSHUA SETH (BCBA)
Entity Type:Individual
Prefix:MR
First Name:JOSHUA
Middle Name:SETH
Last Name:BARTLEY
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 1:1629 WAKEFIELD DR
Mailing Address - Street 2:
Mailing Address - City:BRANDON
Mailing Address - State:FL
Mailing Address - Zip Code:33511-2330
Mailing Address - Country:US
Mailing Address - Phone:813-391-9125
Mailing Address - Fax:
Practice Address - Street 1:1629 WAKEFIELD DR
Practice Address - Street 2:
Practice Address - City:BRANDON
Practice Address - State:FL
Practice Address - Zip Code:33511-2330
Practice Address - Country:US
Practice Address - Phone:813-391-9125
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-08-31
Last Update Date:2022-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL1-17-27914103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst