Individual
MRS. TAMARA ELEANOR WOHLWEND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ED.S., BCBA, NCSP
Contact information
Practice address
12205 WILDBROOK DR, RIVERVIEW, FL 33569-4111
(813) 995-4012
Mailing address
12205 WILDBROOK DR, RIVERVIEW, FL 33569-4111
(813) 995-4012
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
0-07-2222
FL
103TS0200X
School Psychologist
Primary
SS911
FL
Other
Enumeration date
11/11/2010
Last updated
11/15/2022
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