Sydney Marina Tanner
Behavior Analyst in Winter Park, FL. Individual provider (NPI-1).
NPI number1841968591
StatusActive
Last updated in NPPESJan 2, 2024
Details
- NPI
- 1841968591
- Entity type
- Individual (NPI-1)
- Name
- Sydney Marina Tanner
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Aug 30, 2021
- Certification date
- Jan 2, 2024
- Last updated
- Jan 2, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103K00000X | Behavior Analyst | 1-23-69923 | FL | Yes |
| 106S00000X | Behavior Technician | – | – |
Practice location
6953 University BlvdWinter Park, FL 32792-6710
Phone 407-608-8119
Mailing address
1960 Valley Forge DrSaint Cloud, FL 34769-1800
Phone 407-608-8119
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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