Individual
TASHANDER GWENDOLYN AUSTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1001 N DALE MABRY HWY STE C-100, TAMPA, FL 33607-4808
(813) 549-5817
Mailing address
10014 N DALE MABRY HWY STE C-100, TAMPA, FL 33618-4426
(813) 549-5817
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
—
Other
Enumeration date
04/26/2019
Last updated
04/26/2019
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