Provider Demographics
NPI:1306147343
Name:EK, KARI ELIZABETH (BA, BCABA)
Entity type:Individual
Prefix:
First Name:KARI
Middle Name:ELIZABETH
Last Name:EK
Suffix:
Gender:F
Credentials:BA, BCABA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14423 HELLENIC DR UNIT 203
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33613-2890
Mailing Address - Country:US
Mailing Address - Phone:507-340-1346
Mailing Address - Fax:
Practice Address - Street 1:14423 HELLENIC DR UNIT 203
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33613-2890
Practice Address - Country:US
Practice Address - Phone:507-340-1346
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-11-08
Last Update Date:2010-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL0-10-3943103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst