Individual provider · NPI-1

Kendra Corzo

Behavior Analyst · Lutz, FL

NPI number1710496005
StatusActive
Last updated in NPPESSep 29, 2017

Details

NPI
1710496005
Entity type
Individual (NPI-1)
Name
Kendra Corzo
Sex
Female
Sole proprietor
No
Enumeration date
Sep 29, 2017
Last updated
Sep 29, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
103K00000X Behavior Analyst––Yes
103K00000X Behavior AnalystRBT-17-40612FL

Practice location

17815 Hunting Bow Cir
Lutz, FL 33558-5401

Phone 813-491-4425

Mailing address

6217 Paddock Glen Dr Unit 112
Tampa, FL 33634-5358

Phone 301-875-3976

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