Provider Demographics
NPI:1982242400
Name:APPLIED INTERVENTIONS
Entity Type:Organization
Organization Name:APPLIED INTERVENTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TIFFANY
Authorized Official - Middle Name:D
Authorized Official - Last Name:SUAREZ
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA
Authorized Official - Phone:813-781-4316
Mailing Address - Street 1:3259 S NORTHVIEW RD
Mailing Address - Street 2:
Mailing Address - City:PLANT CITY
Mailing Address - State:FL
Mailing Address - Zip Code:33566-0532
Mailing Address - Country:US
Mailing Address - Phone:813-781-4316
Mailing Address - Fax:
Practice Address - Street 1:3259 S NORTHVIEW RD
Practice Address - Street 2:
Practice Address - City:PLANT CITY
Practice Address - State:FL
Practice Address - Zip Code:33566-0532
Practice Address - Country:US
Practice Address - Phone:813-781-4316
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-12-16
Last Update Date:2019-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL1568813251OtherBCBA