Healthcare Provider Details

I. General information

NPI: 1669381562
Provider Name (Legal Business Name): TATIANA DORCE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/04/2026
Last Update Date: 09/04/2026
Certification Date: 09/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5660 BOYNTON BAY CIR
BOYNTON BEACH FL
33437-2638
US

IV. Provider business mailing address

5660 BOYNTON BAY CIR
BOYNTON BEACH FL
33437-2638
US

V. Phone/Fax

Practice location:
  • Phone: 561-809-1374
  • Fax:
Mailing address:
  • Phone: 561-809-1374
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106E00000X
TaxonomyAssistant Behavior Analyst
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: