MEDICARE: TATIANA CASSERINO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	222Q00000X	Developmental Therapist
2	106S00000X	Behavior Technician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1013419985
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TATIANA CASSERINO

Provider Business Mailing Address
First Line	:	1408 NW 6TH ST
Second Line	:
City	:	GAINESVILLE
State	:	FL
Zip	:	32601-4020
Country	:	US
Telephone Number	:	352-373-4411
Fax Number	:	352-373-4455

Provider Business Practice Location Address
First Line	:	1086 SW MAIN BLVD
Second Line	:
City	:	LAKE CITY
State	:	FL
Zip	:	32025-5703
Country	:	US
Telephone Number	:	352-373-4411
Fax Number	:	352-373-4455

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/06/2018
Last Update Date	:	03/06/2018

Similar Medicare Providers

1194260810 — BRC OUTPATIENT LLC
Practice Location Address:

4905 S 900 E
SALT LAKE CITY, UT
84117-5703

Practice Phone: 801-869-1095
Practice Fax: 801-869-1096

1174172449 — ASHLEY GRAEF ASUDC
Practice Location Address:

4905 S 900 E
SALT LAKE CITY, UT
84117-5703

Practice Phone: 415-250-5959
Practice Fax:

1760076335 — ZACHARY MICHAEL BUNNELL LCSW
Practice Location Address:

4905 S 900 E
SALT LAKE CITY, UT
84117-5703

Practice Phone: 801-867-2288
Practice Fax:

1548915317 — BROOKE ELLISON SKELTON CSW
Practice Location Address:

4905 S 900 E
SALT LAKE CITY, UT
84117-5703

Practice Phone: 801-869-1095
Practice Fax: 801-869-1096

1376543397 — MRS. HEIDI ROSEMARIE GRAF ARNP
Practice Location Address:

1049 SE CITY BEACH ST
OAK HARBOR, WA
98277-5703

Practice Phone: 360-675-7678
Practice Fax: 360-279-0614

1023154143 — KRISTA SUE STALCUP OTR
Practice Location Address:

5703 N HULL CT
KANSAS CITY, MO
64151-2602

Practice Phone: 816-746-4960
Practice Fax:

Directions to “ TATIANA CASSERINO ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.