Provider Demographics
NPI:1891848586
Name:TOBII DYNAVOX LLC
Entity Type:Organization
Organization Name:TOBII DYNAVOX LLC
Other - Org Name:TOBII ASSISTIVE TECHNOLOGY, INC.
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:PRESIDENT, NORTH AMERICA
Authorized Official - Prefix:MRS
Authorized Official - First Name:TARA
Authorized Official - Middle Name:A
Authorized Official - Last Name:RUDNICKI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:800-344-1778
Mailing Address - Street 1:333 ELM ST
Mailing Address - Street 2:
Mailing Address - City:DEDHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02026-4530
Mailing Address - Country:US
Mailing Address - Phone:781-461-8200
Mailing Address - Fax:781-461-8213
Practice Address - Street 1:333 ELM ST
Practice Address - Street 2:
Practice Address - City:DEDHAM
Practice Address - State:MA
Practice Address - Zip Code:02026-4530
Practice Address - Country:US
Practice Address - Phone:781-461-8200
Practice Address - Fax:781-461-8213
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-18
Last Update Date:2015-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA332BC3200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01788476Medicaid
MN069715000Medicaid
VT1006027Medicaid
OH2015152Medicaid
MA1538209Medicaid
GA00751253CMedicaid
IL043284593001Medicaid
MO628855801Medicaid
MI874219048Medicaid
PA001670915Medicaid
CADME02503FMedicaid
CADME02503FMedicaid
FL951943200Medicaid
TX091594402Medicaid
VT1006027Medicaid
MA1538209Medicaid
OH2015152Medicaid
MO628855801Medicaid
MI874219048Medicaid