Provider Demographics
NPI:1982149696
Name:BILINGUAL ASSESSMENT INSTITUTE OF FLORIDA
Entity Type:Organization
Organization Name:BILINGUAL ASSESSMENT INSTITUTE OF FLORIDA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LMHC
Authorized Official - Prefix:DR
Authorized Official - First Name:RUBY
Authorized Official - Middle Name:P
Authorized Official - Last Name:ITZEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:239-410-0065
Mailing Address - Street 1:7031 FEATHER WOOD DR
Mailing Address - Street 2:
Mailing Address - City:RUSKIN
Mailing Address - State:FL
Mailing Address - Zip Code:33573-0105
Mailing Address - Country:US
Mailing Address - Phone:239-419-0065
Mailing Address - Fax:
Practice Address - Street 1:7031 FEATHER WOOD DR
Practice Address - Street 2:
Practice Address - City:RUSKIN
Practice Address - State:FL
Practice Address - Zip Code:33573-0105
Practice Address - Country:US
Practice Address - Phone:239-419-0065
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-01-04
Last Update Date:2017-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH 7536251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
=========OtherIRS