Individual
CASEY EADS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12725 RACE TRACK RD, TAMPA, FL 33626
(866) 610-0580
Mailing address
3406 W SAN PEDRO ST, TAMPA, FL 33629-7923
(904) 710-1547
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BACB520477
FL
Other
Enumeration date
07/16/2019
Last updated
12/30/2022
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