Most Relevant Information
Provider Data
NPI Number: | 1003537713 |
Provider Name: | KIMBERLY GARY |
Entity Type: | Individual |
Taxonomy Code: | 106S00000X |
Specialty: | Behavior Technician |
License Number: |
Most Important Dates
Enumeration Date: | 09/09/2022 |
Last Updated: | 03/24/2023 |
Provider Practice Location
3405 CAMELIA PL
LARGO
FL
337712603
Practice Location Phone/Fax
Phone: | 3215918145 |
Fax: |
Provider Mailing Location
3405 CAMELIA PL
LARGO
FL
337712603
Provider Mailing Phone/Fax
Phone: | 3215918145 |
Fax: |