Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Autism Behavior Therapy LLC

Organization Behavior Analyst · NPI 1528636750

Autism Behavior Therapy LLC is a Behavior Analyst in Lake Mary, Florida. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

712 Secret Harbor Ln Unit 102
Lake Mary, FL 32746-6497
Phone: (312) 351-1803
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Analyst (primary) Taxonomy 103K00000X

Record details

NPI number1528636750
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Bonny Bibel — Board Certified Behavior Analyst · (689) 308-8057
NPI enumeratedJune 14, 2021
Last updated in NPPESJuly 2, 2024
Certification dateJuly 2, 2024
Mailing address288 Marjorie Blvd, Longwood, FL 32750-4627

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