MEDICARE: TARA CHRISTELLE ESTIMABLE

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	106S00000X	Behavior Technician	RBT-23-258983	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	:	1932808219
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TARA CHRISTELLE ESTIMABLE

Provider Business Mailing Address
First Line	:	2750 SOMERSET DR APT 302
Second Line	:
City	:	LAUDERDALE LAKES
State	:	FL
Zip	:	33311-2795
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	500 FAIRWAY DR STE 101
Second Line	:
City	:	DEERFIELD BEACH
State	:	FL
Zip	:	33441-1819
Country	:	US
Telephone Number	:	877-418-2978
Fax Number	:	866-500-2186

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

Provider Enumeration Date	:	02/27/2023
Last Update Date	:	10/30/2025

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Directions to “ TARA CHRISTELLE ESTIMABLE ” Practice Location

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