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Tatum Desin

Behavior Technician in Ocala, FL. Individual provider (NPI-1).

NPI number1235779596
StatusActive
Last updated in NPPESJan 14, 2020

Details

NPI
1235779596
Entity type
Individual (NPI-1)
Name
Tatum Desin
Sex
Male
Sole proprietor
No
Enumeration date
Jan 14, 2020
Certification date
Jan 14, 2020
Last updated
Jan 14, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician––Yes

Practice location

2102 Sw 20th Pl Ste 302
Ocala, FL 34471-0858

Phone 877-823-4283 · Fax 352-332-8589

Mailing address

2035 Sw 75th St Ste B
Gainesville, FL 32607-3425

Phone 877-823-4283 · Fax 352-332-8589

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