Abdalla, Lisa

Abdalla, Lisa is an individual health care provider with primary practice located at 600 1St Ave N Ste 234 , Saint Petersburg FL 33701-3609. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavioral Analyst, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Abdalla, Lisa can be contacted via phone (727) 342-0535.

Contact Information

Primary practice address
600 1St Ave N Ste 234 Saint Petersburg FL 33701-3609
Phone: (727) 342-0535
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
Behavioral Health & Social Service Providers / Mental Health 101YM0800X IMH27131 Florida

Profile Details

NPI number 1205245354
LBN Legal business name Abdalla, Lisa
Credentials BCBA, RMHCI
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 2nd, 2014
Last updated Jan 23rd, 2025 - about last year

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 689682196

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