NPI 1003411133

Kendall P Upshaw

Practitioner Behavior Technician Tampa, FL

Practice location

Address: 3217 S Macdill Ave, Tampa, FL 33629-1719
Phone: (813) 284-7941
Fax: (615) 815-1946
Mailing address: 1321 Murfreesboro Pike STE 702, Nashville, TN 37217-2679

Registered specialties

Behavior Technician Primary

Behavioral Health & Social Service Providers Taxonomy 106S00000X

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Registry record

NPI: 1003411133
Entity type: Individual
Sex (as registered): Female
NPI issued: 4 Dec 2020
Record last updated: 4 Dec 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.