Healthcare Provider Details

I. General information

NPI: 1215315288
Provider Name (Legal Business Name): TIARA CAREY M.ED., BCBA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/11/2015
Last Update Date: 08/06/2026
Certification Date: 08/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

213 N PARSONS AVE
BRANDON FL
33510-4513
US

IV. Provider business mailing address

10054 MEADOWRUN DR
LITHIA FL
33547-2878
US

V. Phone/Fax

Practice location:
  • Phone: 813-407-7275
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: