Individual
ANDREA N PERDOMO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
807 W IDLEWILD AVE, TAMPA, FL 33604-6537
(813) 767-5367
Mailing address
PO BOX 1081, OLDSMAR, FL 34677-1081
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
12/07/2010
Last updated
11/15/2013
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