Individual
CHRISTINE PEARSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5260 COQUINA KEY DR SE, APT. C, ST PETERSBURG, FL 33705-6335
(310) 467-9660
Mailing address
8254 118TH AVENUE N, STE 100, LARGO, FL 33773-5027
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
0-13-5510
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
019637000
—
FL
Enumeration date
04/06/2014
Last updated
03/27/2020
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