MEDICARE: TANIA EUFEMIA 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	1-11-8396	VA
2	103K00000X	Behavior Analyst	1-11-8396	TX

General Provider Information

NPI Number	:	1811309347
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TANIA EUFEMIA BCBA

Provider Business Mailing Address
First Line	:	3314 WILLOW RIDGE CIR
Second Line	:
City	:	CARROLLTON
State	:	TX
Zip	:	75007-2760
Country	:	US
Telephone Number	:	310-528-8303
Fax Number	:

Provider Business Practice Location Address
First Line	:	3314 WILLOW RIDGE CIR
Second Line	:
City	:	CARROLLTON
State	:	TX
Zip	:	75007-2760
Country	:	US
Telephone Number	:	310-528-8303
Fax Number	:

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

Provider Enumeration Date	:	06/02/2014
Last Update Date	:	02/14/2026

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