Individual provider · NPI-1
Tamara Abi-Mourshed
Behavior Technician · Jacksonville, FL
NPI number1093591232
StatusActive
Last updated in NPPESSep 5, 2023
Details
- NPI
- 1093591232
- Entity type
- Individual (NPI-1)
- Name
- Tamara Abi-Mourshed
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 5, 2023
- Certification date
- Sep 5, 2023
- Last updated
- Sep 5, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
12276 San Jose BlvdJacksonville, FL 32223-8628
Phone 904-886-3228
Mailing address
12276 San Jose BlvdJacksonville, FL 32223-8628
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