Individual
MISS BRITTANY ANN KIESLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6701 S HIMES AVE, TAMPA, FL 33611-5127
(813) 773-4849
Mailing address
6701 S HIMES AVE, TAMPA, FL 33611-5127
(732) 691-9703
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
K42041006154905
NJ
1041C0700X
Clinical Social Worker
Primary
SW17758
FL
Other
Enumeration date
09/20/2012
Last updated
03/24/2023
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