Pawich, Tamara

Pawich, Tamara is an sole proprietor health care provider with primary practice located at 166 Center St Ste 231 , Cape Canaveral FL 32920-3717. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Behavioral Analyst. Behavioral Health & Social Service Providers / Psychologist is her primary health care specialty. Pawich, Tamara can be contacted via phone (321) 282-1475.

Contact Information

Primary practice address
166 Center St Ste 231 Cape Canaveral FL 32920-3717
Phone: (321) 282-1475
Fax: (321) 473-7089
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X PY8959 Florida
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 1-09-5671

Profile Details

NPI number 1013212299
LBN Legal business name Pawich, Tamara
Credentials PH.D., BCBA-D
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 19th, 2011
Last updated Jan 22nd, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1013212299 NPPES
Florida MEDICAID 018109300

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