Jeremy Tacbas in Mount Shasta - Behavior Analyst
Jeremy Tacbas - NPI 1063537512
Jeremy Tacbas is a Behavior Analyst in Mount Shasta, California. Jeremy Tacbas practices all healthcare services and medical treatments related to Behavior Analyst. The NPI Number for Jeremy Tacbas is 1063537512. The last update date is 2018-06-08.
Jeremy Tacbas's current location address is 111 N A St, Mount Shasta, California. You can contact this provider via phone number 5304088794 and fax number 5305002474. The mailing address for Jeremy Tacbas is 111 N A St, Mount Shasta, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jeremy Tacbas |
|---|---|
| Address | 111 N A St, Mount Shasta, California |
| Phone Number | 5304088794 |
| Fax Number | 5305002474 |
| Sole Proprietor | Y |
| Credentials | LMFT, BCBA |
NPI Number Detail
| NPI Number | 1063537512 |
|---|---|
| Provider Enumeration Date | 2007-03-20 |
| Last Updated Date | 2018-06-08 |
Provider Mailing Address Detail
| Address | 111 N A St |
|---|---|
| City | Mount Shasta |
| State | California (CA) |
| Post Code | 960672402 |
| Phone Number | 5304088794 |
| Fax Number | 5305002474 |
Provider's Primary Taxonomy Detail
| Speciality | Behavior Analyst |
|---|---|
| Taxonomy | 103K00000X |
| Licence No | 1-17-26591 |
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Definition: A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the requi |
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What is the Jeremy Tacbas's unique identification number?
The Jeremy Tacbas has been assigned the NPI (National Provider Identifier) Number 1063537512 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete physical address where Jeremy Tacbas is located?
The Jeremy Tacbas is situated at the following address: 111 N A St, Mount Shasta, CA, 960672402.
What is Jeremy Tacbas's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Jeremy Tacbas's specialized field of practice is Behavior Analyst, and the corresponding taxonomy code that categorizes this area of specialization is 103K00000X.
On what date was the 1063537512 assigned to Jeremy Tacbas?
The Jeremy Tacbas was issued its 1063537512 on 2007-03-20, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Jeremy Tacbas, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Jeremy Tacbas, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2018-06-08.
NPI Number: 1902809924
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