Tamara E Land
Individual provider Active NPI Behavior Technician · Callahan, FL
NPI 1508464124 · NPPES record last updated Oct 15, 2020
Key facts
- NPI
- 1508464124
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 617319 W Brandies Ave Apt 1
Callahan, FL 32011-3201 - Phone
- (904) 654-0701
- NPI assigned
- Oct 15, 2020
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Yes |
Addresses
Primary practice location
617319 W Brandies Ave Apt 1
Callahan, FL 32011-3201
Mailing address
PO Box 1983
Callahan, FL 32011-1983
Phone (904) 654-0701
Other providers in Callahan, FL
- Tiffany Johnston
- Lathern Barnard Jones
- Lindsey Jones
- Timea Alexandra Kecskemeti-Kovacs
- Heather Kirk
- Cara A Lapkowicz
- Brett J Lawson
- LBJ Transportation
- Christine M Lefko
- Danelys Leyva Chacon
All providers in Callahan, FL · Behavior Technician in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 15, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.