Provider Demographics
NPI:1215696489
Name:BILBAO ABRAHAM, YURIA MARIA (BCABA)
Entity type:Individual
Prefix:
First Name:YURIA
Middle Name:MARIA
Last Name:BILBAO ABRAHAM
Suffix:
Gender:F
Credentials:BCABA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2121 W POWHATAN AVE
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33603-1042
Mailing Address - Country:US
Mailing Address - Phone:561-729-1083
Mailing Address - Fax:
Practice Address - Street 1:2121 W POWHATAN AVE
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33603-1042
Practice Address - Country:US
Practice Address - Phone:561-729-1083
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-12-14
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRBT-21-192711106S00000X
FL0-23-14875106E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106E00000XBehavioral Health & Social Service ProvidersAssistant Behavior Analyst
No106S00000XBehavioral Health & Social Service ProvidersBehavior Technician