Individual
DANIA RUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10150 HIGHLAND MANOR DR STE 200-038, TAMPA, FL 33610-9713
(863) 602-0698
Mailing address
13303 N 53RD ST, TEMPLE TERRACE, FL 33617-1213
(813) 368-9751
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
07/28/2019
Last updated
07/28/2019
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