Individual
AGUSTINA CALVO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8001 BEATY GROVE DR, TAMPA, FL 33626-1602
(239) 849-6303
Mailing address
2710 N TAMPA STREET, UNIT A, TAMPA, FL 33602
(239) 849-6303
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
18002897799
—
FL
Enumeration date
10/21/2021
Last updated
10/21/2021
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