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NPI Code Detail

MEDICARE: TATIANA SMITH RBT

MEDICARE: TATIANA SMITH RBT
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
1106S00000XBehavior TechnicianRBT-26-518048FL

General Provider Information

NPI Number : 1679420129
Entity Type Code : Individual
Provider Name (Legal Business Name) : TATIANA SMITH RBT
Provider Business Mailing Address
First Line : 1420 SAN FILIPPO DR SE
Second Line :
City : PALM BAY
State : FL
Zip : 32909-5900
Country : US
Telephone Number : 321-503-5749
Fax Number :
Provider Business Practice Location Address
First Line : 2475 PALM BAY RD NE STE 231
Second Line :
City : PALM BAY
State : FL
Zip : 32905-3359
Country : US
Telephone Number : 321-914-4055
Fax Number : 321-473-8829
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/13/2026
Last Update Date : 03/13/2026

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Directions to “ TATIANA SMITH RBT” Practice Location

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