MEDICARE: MS. TAMBERLY HOPE SEGERT 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
1	103K00000X	Behavior Analyst	1-25-81635	FL
2	106E00000X	Assistant Behavior Analyst	0-07-2188	FL

Other Identifiers

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

General Provider Information

NPI Number	:	1447493077
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. TAMBERLY HOPE SEGERT BCBA

Provider Business Mailing Address
First Line	:	9405 BARNSTEAD LN
Second Line	:
City	:	PORT RICHEY
State	:	FL
Zip	:	34668-4302
Country	:	US
Telephone Number	:	727-967-2809
Fax Number	:

Provider Business Practice Location Address
First Line	:	13911 LAKESHORE BLVD STE 103
Second Line	:
City	:	HUDSON
State	:	FL
Zip	:	34667-7102
Country	:	US
Telephone Number	:	727-967-2809
Fax Number	:

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

Provider Enumeration Date	:	04/13/2009
Last Update Date	:	01/27/2026

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