Individual
AMY PURCELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1315 W FLETCHER AVE, TAMPA, FL 33612-3310
(813) 269-4879
Mailing address
1315 W FLETCHER AVE, TAMPA, FL 33612-3310
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-22-59956
FL
Other
Enumeration date
09/18/2014
Last updated
04/16/2024
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