Kalil Tanco

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

500 Fairway Dr Ste 102
Deerfield Beach, FL 33441-1817

Phone

(888) 880-9270

Fax

(954) 342-0273

NPI assigned

May 16, 2016

Sex

Female

Sole proprietor

Yes

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": "1463356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581465600000",
    "number": "1497102842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20132 NW 37TH CT",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "330551435",
            "telephone_number": "786-762-5692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 FAIRWAY DR STE 102",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "334411817",
            "telephone_number": "888-880-9270",
            "fax_number": "954-342-0273"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20132 NW 37th Ct",
            "address_purpose": "LOCATION",
            "city": "Miami Gardens",
            "state": "FL",
            "postal_code": "330551435",
            "country_code": "US",
            "telephone_number": "786-762-5692",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TANCO",
        "first_name": "KALIL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-05-16",
        "last_updated": "2020-02-12",
        "certification_date": "2020-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mahdi Taha, D.O.
• Raquel Tait
• Rocatta Tait
• Tiffany Tait, LCSW
• Edis Talovic, BS
• Meredith Joy Tanen, DPT
• Rhiannon Leigh Tang
• Brian K Tanner, CRNA
• Lauren Ellen Tannor
• Debee Lynn Tanzer, CCC-SLP

• Behavior Technician in Deerfield Beach, FL
• Providers in Deerfield 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 Feb 12, 2020; 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.