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NPI Code Detail

MEDICARE: TIARA CAREY M.ED., BCBA

MEDICARE: TIARA CAREY M.ED., BCBA
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
1103K00000XBehavior Analyst

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1215315288
Entity Type Code : Individual
Provider Name (Legal Business Name) : TIARA CAREY M.ED., BCBA
Provider Business Mailing Address
First Line : PO BOX 2112
Second Line :
City : LAKELAND
State : FL
Zip : 33806-2112
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 454 W PIPKIN RD
Second Line :
City : LAKELAND
State : FL
Zip : 33813-2545
Country : US
Telephone Number : 863-619-2809
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/11/2015
Last Update Date : 03/10/2026

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