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NPI Code Detail

MEDICARE: ANITA TOMIC M.S, BCBA

MEDICARE:   ANITA  TOMIC  M.S, 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
1106E00000XAssistant Behavior AnalystFL
2103K00000XBehavior AnalystFL

General Provider Information

NPI Number : 1285000463
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANITA TOMIC M.S, BCBA
Provider Business Mailing Address
First Line : 1280 S ALHAMBRA CIR APT 1101
Second Line :
City : CORAL GABLES
State : FL
Zip : 33146-3128
Country : US
Telephone Number : 786-862-9830
Fax Number :
Provider Business Practice Location Address
First Line : 20325 OLD CUTLER RD
Second Line :
City : CUTLER BAY
State : FL
Zip : 33189-1831
Country : US
Telephone Number : 305-791-2713
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/11/2015
Last Update Date : 12/09/2021

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Directions to “ ANITA TOMIC M.S, BCBA” Practice Location

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