Individual
AMY NICOLE AYRES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., BCBA
Contact information
Practice address
14638 BOURNEMOUTH RD, TAMPA, FL 33626-3322
(813) 480-7046
(813) 818-1257
Mailing address
14638 BOURNEMOUTH RD, TAMPA, FL 33626-3322
(813) 480-7046
(813) 818-1257
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-07-3338
FL
Other
Enumeration date
03/07/2011
Last updated
03/07/2011
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