Individual
WENDY TAVADIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1219 DUNN AVE, DAYTONA BEACH, FL 32114-2405
(386) 255-4568
Mailing address
213 E WOODMONT RD, DELAND, FL 32724-2843
(352) 433-9389
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
0-18-9030
FL
106S00000X
Behavior Technician
—
—
Other
Enumeration date
11/24/2016
Last updated
07/11/2022
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