Individual
CLAIRE A WISTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
601 N 12TH ST # 1-0506, TAMPA, FL 33602-3100
(407) 951-4138
Mailing address
601 N 12TH ST # 1-0506, TAMPA, FL 33602-3100
(407) 951-4138
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
0-25-15864
FL
106S00000X
Behavior Technician
RBT-22-205219
FL
106S00000X
Behavior Technician
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Other
Enumeration date
05/12/2022
Last updated
03/17/2025
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