Individual
DAVID EDMONDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
15100 HUTCHISON RD, TAMPA, FL 33625-5513
(813) 515-4045
Mailing address
2706 MONZA DR, SEBRING, FL 33872-2008
(863) 368-2870
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
017475600
—
FL
Enumeration date
10/02/2017
Last updated
10/02/2017
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