Kendall P Upshaw

NPI #1003411133 in Tampa, Florida

Provider Information

NPI Number: 1003411133
Entity Type: Individual
Name: Kendall P Upshaw
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Dec 4, 2020
Last Updated: Dec 4, 2020

Practice Location

Address: 3217 S MACDILL AVE
City: Tampa
State: Florida
ZIP Code: 33629-1719
Phone: (813) 284-7941

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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