Individual
AMELIA DALPHONSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BS, MA, BCBA
Contact information
Practice address
4706 PERSIMMON WAY, TAMPA, FL 33624-5212
(603) 892-6134
Mailing address
4706 PERSIMMON WAY, TAMPA, FL 33624-5212
(603) 892-6134
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-16-22422
FL
103K00000X
Behavior Analyst
—
—
171M00000X
Case Manager/Care Coordinator
—
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102524100
—
FL
Enumeration date
10/02/2012
Last updated
09/13/2021
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