India Tater

NPI #1871304402 in Lake Park, Florida

Provider Information

NPI Number: 1871304402
Entity Type: Individual
Name: India Tater
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: Jan 14, 2025
Last Updated: Jan 14, 2025

Practice Location

Address: 501 N FEDERAL HWY
City: Lake Park
State: Florida
ZIP Code: 33403-3557
Phone: (561) 284-6680

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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