Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103K00000X | Behavior Analyst | FL |
NPI | 1003294075 |
---|---|
Provider Name | Katherine Cameron |
First Address | Tampa, FL 33609-1062 |
Second Address | Tampa, FL 33625-4021 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/05/2015 |
Last Update Date | 11/05/2015 |