Individual
BRIANNA DEWILDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13700 58TH ST N STE 207, CLEARWATER, FL 33760-3757
(765) 628-7400
Mailing address
2035 SW 75TH ST STE B, GAINESVILLE, FL 32607-3425
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
07/05/2022
Last updated
07/05/2022
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