Provider Demographics
NPI:1477870517
Name:BIRD, ALMA T (MA, BCBA)
Entity type:Individual
Prefix:
First Name:ALMA
Middle Name:T
Last Name:BIRD
Suffix:
Gender:F
Credentials:MA, BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:232 ALABAMA AVE
Mailing Address - Street 2:
Mailing Address - City:SAINT CLOUD
Mailing Address - State:FL
Mailing Address - Zip Code:34769-2131
Mailing Address - Country:US
Mailing Address - Phone:407-301-3791
Mailing Address - Fax:407-902-0019
Practice Address - Street 1:816 PENNSYLVANIA AVE
Practice Address - Street 2:
Practice Address - City:SAINT CLOUD
Practice Address - State:FL
Practice Address - Zip Code:34769-3371
Practice Address - Country:US
Practice Address - Phone:321-805-4426
Practice Address - Fax:407-902-0019
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-29
Last Update Date:2024-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
171M00000X
FL1-14-2139103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No171M00000XOther Service ProvidersCase Manager/Care Coordinator