Individual
MS. AUDREY ANDREA TATUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSED
Contact information
Practice address
13195 SW 134TH ST STE 201, MIAMI, FL 33186-4585
(786) 655-9306
Mailing address
901 NW 85TH TER APT 1401, PLANTATION, FL 33324-1233
(718) 282-9117
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
174400000X
Specialist
—
—
Other
Enumeration date
06/07/2012
Last updated
11/16/2024
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