Individual
MIA CHRIST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4221 W SPRUCE ST APT 2207, TAMPA, FL 33607-7243
(248) 761-4020
Mailing address
4221 W SPRUCE ST APT 2207, TAMPA, FL 33607-7243
(248) 761-4020
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
106E00000X
Assistant Behavior Analyst
Primary
0-23-14483
FL
Other
Enumeration date
10/04/2022
Last updated
05/26/2023
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