Rebecca Tedder

Primary specialty

Assistant Behavior AnalystTaxonomy code 106E00000X

License

APF-164632988825666 Issued in CA

Practice address

2385 NW Executive Center Dr Ste 100
Boca Raton, FL 33431-8510

Phone

(561) 847-3555

NPI assigned

Mar 25, 2022

Last updated

Mar 25, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1648166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648166400000",
    "number": "1487304127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 GRANTHAM A",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "334423401",
            "telephone_number": "917-991-4488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2385 NW EXECUTIVE CENTER DR STE 100",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334318510",
            "telephone_number": "561-847-3555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEDDER",
        "first_name": "REBECCA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-25",
        "last_updated": "2022-03-25",
        "certification_date": "2022-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374700000X",
            "taxonomy_group": "",
            "desc": "Technician",
            "state": "CA",
            "license": "APF-1646329888-25666",
            "primary": false
        },
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": "CA",
            "license": "APF-164632988825666",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Luisa Fernanda Tchou, D.M.D.
• Joelle Tchuenbou
• TDC Boca Raton, LLC (Boca Raton Modern Dentistry)
• TDN Dentistry PLLC (Periodontal Associates)
• Techni-Pro Home Health Care, LLC
• Victor Teem
• Stephen Teitelbaum, D.M.D, LLC
• Teknuomsky Inc
• Jessica Adrienne Telchin, MS CCC-SLP
• Teleemc LLC

• Assistant Behavior Analyst in Boca Raton, FL
• Providers in Boca Raton, FL by specialty
• Assistant Behavior Analyst in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2022; 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.