Individual
ANDREW MILLERWISE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6951 PISTOL RANGE RD, SUITE 101, TAMPA, FL 33635-9601
(813) 814-2000
Mailing address
4221 10TH AVE N, ST PETERSBURG, FL 33713-5935
(269) 998-0704
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-11-8928
—
222Q00000X
Developmental Therapist
—
—
Other
Enumeration date
04/04/2011
Last updated
03/22/2022
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