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NPI Code Detail

MEDICARE: TAMERA MOORE BCBA

MEDICARE:   TAMERA  MOORE  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
1106S00000XBehavior Technician
2103K00000XBehavior Analyst1-25-80521FL

Other Identifiers

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

General Provider Information

NPI Number : 1952941353
Entity Type Code : Individual
Provider Name (Legal Business Name) : TAMERA MOORE BCBA
Provider Business Mailing Address
First Line : 4620 N STATE ROAD 7 STE 300
Second Line :
City : LAUDERDALE LAKES
State : FL
Zip : 33319-5867
Country : US
Telephone Number : 561-323-6593
Fax Number :
Provider Business Practice Location Address
First Line : 2895 HUELAND POND BLVD
Second Line :
City : WESLEY CHAPEL
State : FL
Zip : 33543-7667
Country : US
Telephone Number : 561-903-1955
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/14/2020
Last Update Date : 06/18/2025

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Directions to “ TAMERA MOORE BCBA” Practice Location

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