Individual
BRINN MCKAYLA CARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
18288 N US HIGHWAY 41, LUTZ, FL 33549-4400
(813) 527-9638
Mailing address
8415 N ARMENIA AVE APT 521, TAMPA, FL 33604-2626
(607) 972-1761
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
0-21-12164
PA
103K00000X
Behavior Analyst
Primary
1-22-57614
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
111021500
—
FL
Enumeration date
08/13/2021
Last updated
02/16/2022
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