Provider Demographics
NPI:1497994438
Name:LONG, CLAUDIA C (BCBA)
Entity Type:Individual
Prefix:MS
First Name:CLAUDIA
Middle Name:C
Last Name:LONG
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 1:9315 HUNTINGTON PARK WAY
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33647-2566
Mailing Address - Country:US
Mailing Address - Phone:813-625-7770
Mailing Address - Fax:
Practice Address - Street 1:9315 HUNTINGTON PARK WAY
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33647-2566
Practice Address - Country:US
Practice Address - Phone:813-625-7770
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-16
Last Update Date:2009-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLBCBA 1-06-2690103K00000X
FLSS 782103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst