Excellerated Teaching Center, Inc.

LBN: Excellerated Teaching Center, Inc.
Excellerated Teaching Center, Inc. is an health care organization with primary practice located at 5175 45Th St N # 4 , St Petersburg FL 33714-2266. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as the primary health care specialty. Excellerated Teaching Center, Inc. can be contacted via phone (727) 748-4060, or through Hasbrouck, Robert Jones via phone (727) 686-1142.

Contact Information

Primary practice address
5175 45Th St N # 4 St Petersburg FL 33714-2266
Phone: (727) 748-4060
Fax: (727) 748-4060
Website:
Map and Directions
Authorized official contact:
Name: Hasbrouck, Robert Jones
Phone: (727) 686-1142

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 0-13-5494 Florida

Profile Details

NPI number 1942626643
LBN Legal business name Excellerated Teaching Center, Inc.
DBA Doing business as
Authorized official Hasbrouck, Robert Jones
Entity Organization
Organization subpart 1 No
Enumeration date Mar 5th, 2014
Last updated Jun 17th, 2021 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1942626643 NPPES
Florida MEDICAID 022538300

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