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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MISS TARA-MARIE MALCOLM

Active Sole Proprietor

Behavior Technician · PEMBROKE PINES, FL

Registration Details

NPI Number
1518333780
Provider Type
Individual
Gender
Female
NPI Issued
Aug 11, 2015 (10.722695485852 yrs)
Last Updated
May 3, 2022
License
BACB301120 (FL)
Sole Proprietor
Yes

Practice Information

Address
11940 SW 12TH ST
BUILDING 115
PEMBROKE PINES, FL, 330255719
Browse FL providers · Browse ZIP 33025
Phone
9542742057
Primary Specialty
Behavior Technician
106S00000X
Additional Specialty
Behavior Technician

Other Behavior Technician Providers in PEMBROKE PINES, FL

Name Credential NPI
DEENA M COLE 1609128412
WILLIAN GUTIERREZ 1083070908
MARGARITA REIMON 1144677758
MARTHA GOMEZ 1700234390
ANDY CASANOVA RAMIREZ 1871942425
LAURA OLIVARES 1669821179
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.