Provider Demographics
NPI:1215274956
Name:STRONG, TODD (BCBA)
Entity type:Individual
Prefix:MR
First Name:TODD
Middle Name:
Last Name:STRONG
Suffix:
Gender:M
Credentials:BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11039 NW 62ND CT
Mailing Address - Street 2:
Mailing Address - City:PARKLAND
Mailing Address - State:FL
Mailing Address - Zip Code:33076-3727
Mailing Address - Country:US
Mailing Address - Phone:954-702-1684
Mailing Address - Fax:
Practice Address - Street 1:11039 NW 62ND CT
Practice Address - Street 2:
Practice Address - City:PARKLAND
Practice Address - State:FL
Practice Address - Zip Code:33076-3727
Practice Address - Country:US
Practice Address - Phone:954-702-1684
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-01-15
Last Update Date:2021-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst