Provider Demographics
NPI:1174976260
Name:HELMBRECHT, RICHARD VINCENT (BCABA)
Entity type:Individual
Prefix:
First Name:RICHARD
Middle Name:VINCENT
Last Name:HELMBRECHT
Suffix:
Gender:M
Credentials:BCABA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2025 ROGERS ST APT 209
Mailing Address - Street 2:
Mailing Address - City:CLEARWATER
Mailing Address - State:FL
Mailing Address - Zip Code:33764-6343
Mailing Address - Country:US
Mailing Address - Phone:917-968-1231
Mailing Address - Fax:727-213-6368
Practice Address - Street 1:2025 ROGERS ST APT 209
Practice Address - Street 2:
Practice Address - City:CLEARWATER
Practice Address - State:FL
Practice Address - Zip Code:33764-6343
Practice Address - Country:US
Practice Address - Phone:917-968-1231
Practice Address - Fax:727-213-6368
Is Sole Proprietor?:Yes
Enumeration Date:2016-07-13
Last Update Date:2016-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL0-14-6300103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL0-14-6300OtherBEHAVIOR ANALYST CERTIFICATION BOARD