Individual
COLLIN E. STREETMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.A., BCBA
Contact information
Practice address
1906 N TAMPA ST, TAMPA, FL 33602-2133
(813) 382-2722
Mailing address
16414 LAKE CHURCH DR, ODESSA, FL 33556-2637
(813) 382-2722
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
12/04/2012
Last updated
10/20/2014
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