Individual
CARLY HALITZER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
217 S MATANZAS AVE, TAMPA, FL 33609-3010
(813) 250-0482
(415) 480-2496
Mailing address
1902 S MACDILL AVE, TAMPA, FL 33629-5903
(813) 250-0482
(415) 480-2496
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-24-71847
FL
Other
Enumeration date
06/23/2021
Last updated
04/02/2024
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