Abdalla, Lisa

Abdalla, Lisa is an individual health care provider with primary practice located at 235 3Rd Ave N Unit 406 , Saint Petersburg FL 33701-3378. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Abdalla, Lisa can be contacted via phone (727) 742-8697.

Contact Information

Primary practice address
235 3Rd Ave N Unit 406 Saint Petersburg FL 33701-3378
Phone: (727) 742-8697
Fax: (800) 981-5129
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 1-03-1195 Florida

Profile Details

NPI number 1205245354
LBN Legal business name Abdalla, Lisa
Credentials BCBA
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 2nd, 2014
Last updated Jun 16th, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1205245354 NPPES
Florida MEDICAID 017422700
Florida MEDICAID 689682196

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