Most Relevant Information
Provider Data
NPI Number: | 1003513821 |
Provider Name: | REBECCA TABLADA |
Entity Type: | Individual |
Taxonomy Code: | 106S00000X |
Specialty: | Behavior Technician |
License Number: |
Most Important Dates
Enumeration Date: | 02/13/2023 |
Last Updated: | 02/13/2023 |
Provider Practice Location
2873 EXECUTIVE PARK DR
WESTON
FL
333313603
Practice Location Phone/Fax
Phone: | 7548128700 |
Fax: |
Provider Mailing Location
2190 NW 171ST TER
PEMBROKE PINES
FL
330282054
Provider Mailing Phone/Fax
Phone: | 3056328754 |
Fax: |