Individual
DR. TAMARA PAWICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D., BCBA-D
Contact information
Practice address
166 CENTER ST STE 231, CAPE CANAVERAL, FL 32920-3717
(321) 282-1475
(321) 473-7089
Mailing address
166 CENTER ST STE 231, CAPE CANAVERAL, FL 32920-3717
(321) 282-1475
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
1-09-5671
—
103T00000X
Psychologist
Primary
PY8959
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
018109300
—
FL
Enumeration date
01/19/2011
Last updated
01/22/2023
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