Provider Demographics
NPI:1821299330
Name:BAY HARBOR BEHAVIOR ASSOCIATES INC.
Entity Type:Organization
Organization Name:BAY HARBOR BEHAVIOR ASSOCIATES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:SARA
Authorized Official - Middle Name:L
Authorized Official - Last Name:GEDAJLOVIC
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:727-743-3483
Mailing Address - Street 1:930 SNELL ISLE BLVD NE
Mailing Address - Street 2:
Mailing Address - City:ST PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33704-3830
Mailing Address - Country:US
Mailing Address - Phone:727-743-3483
Mailing Address - Fax:727-896-7272
Practice Address - Street 1:930 SNELL ISLE BLVD NE
Practice Address - Street 2:
Practice Address - City:ST PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33704-3830
Practice Address - Country:US
Practice Address - Phone:727-743-3483
Practice Address - Fax:727-896-7272
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-31
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH003061101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty