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NPI Code Detail

MEDICARE: TABETHA NICHOLE ARGIRO BCABA

MEDICARE: TABETHA NICHOLE ARGIRO BCABA
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
1103K00000XBehavior Analyst0-14-5817FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
10-14-5817OTHERFLBOARD CERTIFICATION NUMBER

General Provider Information

NPI Number : 1932526126
Entity Type Code : Individual
Provider Name (Legal Business Name) : TABETHA NICHOLE ARGIRO BCABA
Provider Business Mailing Address
First Line : 220 W. BRANDON BLVD
Second Line : SUITE 210
City : BRANDON
State : FL
Zip : 33511-5122
Country : US
Telephone Number : 813-438-8902
Fax Number : 813-438-8903
Provider Business Practice Location Address
First Line : 220 W BRANDON BLVD
Second Line : SUITE 210
City : BRANDON
State : FL
Zip : 33511-5104
Country : US
Telephone Number : 813-438-8902
Fax Number : 813-438-8903
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/25/2014
Last Update Date : 03/25/2014

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