Kimberly Ann Tabachka, BEHAVIOR ASSISTANT

NPI #1174043475 in Lake Mary, Florida

Provider Information

NPI Number: 1174043475
Entity Type: Individual
Name: Kimberly Ann Tabachka, BEHAVIOR ASSISTANT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Credential: BEHAVIOR ASSISTANT
Enumeration Date: Jun 27, 2017
Last Updated: Jun 27, 2017

Practice Location

Address: 255 PRIMERA BOULEVARD
Address 2: SUITE 160B
City: Lake Mary
State: Florida
ZIP Code: 32746
Phone: (407) 440-0500

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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