Individual
KARIANNE SZPAK ROSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11840 BROOKSIDE DR, BRADENTON, FL 34211-4527
(724) 777-1518
Mailing address
11840 BROOKSIDE DR, LAKEWOOD RANCH, FL 34211-4527
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
103TS0200X
School Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1184961682
—
FL
Enumeration date
01/03/2013
Last updated
07/06/2020
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