Tabachka, Kimberly Ann

Tabachka, Kimberly Ann is an individual health care provider with primary practice located at 255 Primera Boulevard Suite 160B, Lake Mary FL 32746. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Tabachka, Kimberly Ann can be contacted via phone (407) 440-0500.

Contact Information

Primary practice address
255 Primera Boulevard Suite 160B Lake Mary FL 32746
Phone: (407) 440-0500
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X

Profile Details

NPI number 1174043475
LBN Legal business name Tabachka, Kimberly Ann
Credentials BEHAVIOR ASSISTANT
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 27th, 2017
Last updated Jun 27th, 2017 - about 7 years ago

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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