Rebecca Lillian Tavares

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

124 Rosewood Ave
Ormond Beach, FL 32174-5525

Phone

(386) 278-6844

NPI assigned

Jun 1, 2021

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1622505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757894400000",
    "number": "1306412309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 ROSEWOOD AVE",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321745525",
            "telephone_number": "386-278-6844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 ROSEWOOD AVE",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321745525",
            "telephone_number": "386-278-6844"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12724 Gran Bay Pkwy W Ste 410",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322589486",
            "country_code": "US",
            "telephone_number": "855-832-6727",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAVARES",
        "first_name": "REBECCA",
        "middle_name": "LILLIAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-01",
        "last_updated": "2025-09-15",
        "certification_date": "2025-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patrick Tank, PHARMD
• Jop Tannous
• Cecille Tapia Santiago, MD
• Tapihour
• Carrie Jennifer Tarr, CCC-SLP
• Taygun P.C. (The Gynecology Center)
• Brad T Taylor, PA
• Casey Taylor
• Matthew Christopher Taylor, M.ED., LMHC
• Patricia L Taylor, OTR

• Behavior Technician in Ormond Beach, FL
• Providers in Ormond Beach, FL by specialty
• Behavior Technician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.