MEDICARE: ALICIA TAMARIZ

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-25-408788	FL

General Provider Information

NPI Number	:	1134934623
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALICIA TAMARIZ

Provider Business Mailing Address
First Line	:	9935 PINEAPPLE TREE DR APT 202
Second Line	:
City	:	BOYNTON BEACH
State	:	FL
Zip	:	33436-3582
Country	:	US
Telephone Number	:	561-374-3201
Fax Number	:

Provider Business Practice Location Address
First Line	:	9935 PINEAPPLE TREE DR APT 202
Second Line	:
City	:	BOYNTON BEACH
State	:	FL
Zip	:	33436-3582
Country	:	US
Telephone Number	:	561-374-3201
Fax Number	:

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

Provider Enumeration Date	:	02/11/2025
Last Update Date	:	02/11/2025

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Directions to “ ALICIA TAMARIZ ” Practice Location

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