Individual
TIERA SOPHIA PALMISANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
18288 N US HIGHWAY 41, LUTZ, FL 33549-4400
(813) 527-9638
Mailing address
1610 WILLIAMS RD, PLANT CITY, FL 33565-2459
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
12/18/2017
Last updated
10/02/2023
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