Provider Demographics
NPI:1184313629
Name:INSPIRE BEHAVIOR THERAPY
Entity type:Organization
Organization Name:INSPIRE BEHAVIOR THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BEHAVIOR ANALYST
Authorized Official - Prefix:
Authorized Official - First Name:KAITLYN
Authorized Official - Middle Name:TAYLOR
Authorized Official - Last Name:STARRETT
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA
Authorized Official - Phone:386-717-0263
Mailing Address - Street 1:1100 CRESCENT LAKE DR N
Mailing Address - Street 2:
Mailing Address - City:ST PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33701-1535
Mailing Address - Country:US
Mailing Address - Phone:386-717-0263
Mailing Address - Fax:
Practice Address - Street 1:1100 CRESCENT LAKE DR N
Practice Address - Street 2:
Practice Address - City:ST PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33701-1535
Practice Address - Country:US
Practice Address - Phone:386-717-0263
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-02
Last Update Date:2023-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty