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

Progressive Behavior Management Res, Inc

Organization Behavior Analyst · NPI 1336418417

Progressive Behavior Management Res, Inc is a Behavior Analyst in Brandon, Florida. Licensed in Florida. Registered with an NPI since 2011.

Licensed in
FL
In the registry since
2011
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

628 E Bloomingdale Ave
Brandon, FL 33511-8111
Phone: (813) 525-5468
Fax: (813) 438-8903
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence OT 11898 (FL)
Behavior Analyst Taxonomy 103K00000X · Licence 1-07-3280 (FL)

Record details

NPI number1336418417
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Stacey Sparkman — Owner/Bcba · (813) 525-5468
NPI enumeratedDecember 20, 2011
Last updated in NPPESMay 1, 2014
Mailing address220 W Brandon Blvd, Suite 210, Brandon, FL 33511-5104

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