Healthcare Provider Details
I. General information
NPI: 1679880652
Provider Name (Legal Business Name): CATHERINE IRENE TAFFE BCBA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 09/11/2010
Last Update Date: 04/27/2026
Certification Date: 04/27/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
450 N PARK RD STE 400
HOLLYWOOD FL
33021-6918
US
IV. Provider business mailing address
45147 W BALBOA DR
MARICOPA AZ
85139-6724
US
V. Phone/Fax
- Phone: 954-925-3191
- Fax: 954-925-3193
- Phone: 480-248-4434
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 103K00000X |
| Taxonomy | Behavior Analyst |
| License Number | 1-19-39607 |
| License Number State | FL |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 2355S0801X |
| Taxonomy | Speech-Language Assistant |
| License Number | SLPA6940 |
| License Number State | AZ |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: