Healthcare Provider Details

I. General information

NPI: 1548035066
Provider Name (Legal Business Name): TIARA ROSIER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/15/2023
Last Update Date: 04/02/2026
Certification Date: 04/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2500 N MILITARY TRL STE 304
BOCA RATON FL
33431-6324
US

IV. Provider business mailing address

402 S F ST APT 2
LAKE WORTH FL
33460-4372
US

V. Phone/Fax

Practice location:
  • Phone: 772-362-9878
  • Fax:
Mailing address:
  • Phone: 561-503-0412
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: