Tama Theano
Behavior Technician in Orlando, FL. Individual provider (NPI-1).
NPI number1316630031
StatusActive
Last updated in NPPESMay 30, 2023
Details
- NPI
- 1316630031
- Entity type
- Individual (NPI-1)
- Name
- Tama Theano
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 30, 2023
- Certification date
- May 30, 2023
- Last updated
- May 30, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
644 Ferguson Dr Ste 200Orlando, FL 32805-1023
Phone 844-854-1116
Mailing address
1500 S Douglas Rd Ste 230Coral Gables, FL 33134-4108
Phone 844-244-1818
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