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NPI Code Detail

MEDICARE: TATYANA DIXON

MEDICARE: TATYANA DIXON
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
1106S00000XBehavior TechnicianRBT-26-519572FL

General Provider Information

NPI Number : 1215882139
Entity Type Code : Individual
Provider Name (Legal Business Name) : TATYANA DIXON
Provider Business Mailing Address
First Line : 11951 BENTRY ST
Second Line :
City : ORLANDO
State : FL
Zip : 32824-4414
Country : US
Telephone Number : 321-795-4359
Fax Number :
Provider Business Practice Location Address
First Line : 730 SAND LAKE RD
Second Line :
City : ORLANDO
State : FL
Zip : 32809-7750
Country : US
Telephone Number : 407-412-6114
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/04/2026
Last Update Date : 03/05/2026

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Directions to “ TATYANA DIXON ” Practice Location

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