Most Relevant Information
Provider Data
| NPI Number: | 1003664053 |
| Provider Name: | ASHANTI CORBIN |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 05/07/2024 |
| Last Updated: | 05/07/2024 |
Provider Practice Location
12911 N TELECOM PKWY
TEMPLE TERRACE
FL
336370907
Practice Location Phone/Fax
| Phone: | 8135537880 |
| Fax: |
Provider Mailing Location
12911 N TELECOM PKWY
TEMPLE TERRACE
FL
336370907
Provider Mailing Phone/Fax
| Phone: | 8135537880 |
| Fax: |