Provider Demographics
NPI:1033614870
Name:TARANTINO, TRICIA (BCBA)
Entity Type:Individual
Prefix:
First Name:TRICIA
Middle Name:
Last Name:TARANTINO
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:39 CEDAR TREE DR
Mailing Address - Street 2:
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34472-2897
Mailing Address - Country:US
Mailing Address - Phone:352-629-1940
Mailing Address - Fax:352-362-2483
Practice Address - Street 1:1701 E FORT KING ST
Practice Address - Street 2:
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34471-2532
Practice Address - Country:US
Practice Address - Phone:352-629-1940
Practice Address - Fax:352-363-2483
Is Sole Proprietor?:Yes
Enumeration Date:2018-03-26
Last Update Date:2018-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst