MEDICARE: MS. BARBARA C TAULER

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	106S00000X	Behavior Technician	RBT-20-142959	FL

General Provider Information

NPI Number	:	1972192649
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. BARBARA C TAULER

Provider Business Mailing Address
First Line	:	120 ROYAL PALM RD APT 308
Second Line	:
City	:	HIALEAH GARDENS
State	:	FL
Zip	:	33016-4647
Country	:	US
Telephone Number	:	954-556-0830
Fax Number	:

Provider Business Practice Location Address
First Line	:	120 ROYAL PALM RD APT 308
Second Line	:
City	:	HIALEAH GARDENS
State	:	FL
Zip	:	33016-4647
Country	:	US
Telephone Number	:	954-556-0830
Fax Number	:

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

Provider Enumeration Date	:	01/15/2021
Last Update Date	:	01/15/2021

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