Individual
MISS PATRICIA KOPEC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
3981 KYLE LN, VESTAVIA, AL 35243-5633
(205) 610-9616
Mailing address
4110 S DREXEL AVE, TAMPA, FL 33611-1904
(904) 233-3243
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-16-23868
FL
222Q00000X
Developmental Therapist
—
—
Other
Enumeration date
10/18/2012
Last updated
11/13/2018
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