Provider Demographics
NPI:1942686233
Name:DT BEHAVIOR SERVICES
Entity Type:Organization
Organization Name:DT BEHAVIOR SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BCBA
Authorized Official - Prefix:
Authorized Official - First Name:DARREN
Authorized Official - Middle Name:
Authorized Official - Last Name:TAGLIARINI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:904-386-2841
Mailing Address - Street 1:43 SYLVAN DR
Mailing Address - Street 2:
Mailing Address - City:SAINT AUGUSTINE
Mailing Address - State:FL
Mailing Address - Zip Code:32084-2157
Mailing Address - Country:US
Mailing Address - Phone:904-386-2841
Mailing Address - Fax:
Practice Address - Street 1:43 SYLVAN DR
Practice Address - Street 2:
Practice Address - City:SAINT AUGUSTINE
Practice Address - State:FL
Practice Address - Zip Code:32084-2157
Practice Address - Country:US
Practice Address - Phone:904-386-2841
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-08-10
Last Update Date:2015-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty