Antonia Tamaya Stadom

Behavior Technician · Palm Bay, FL

Individual Active NPI

NPI number 1922831973

Practice location

1320 Culver Dr NE Ste 3
Palm Bay, FL 32907-1104
Phone
(321) 914-4055

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NPI record

NPI
1922831973
Entity type
Individual (Type 1)
Enumeration date
August 24, 2024
Last updated
August 24, 2024
Certified
August 23, 2024
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Behavior Technician Primary 106S00000X APF-1723795404-25666 FL

Mailing address

750 Carolin St Apt 305
Melbourne, FL 32901-3266
Phone
(321) 557-7942

About Antonia Stadom

Antonia Tamaya Stadom is a healthcare provider registered in the NPI registry with the primary taxonomy Behavior Technician (code 106S00000X). The practice location is 1320 Culver Dr NE Ste 3, Palm Bay, FL 32907-1104. The NPI number 1922831973 was assigned on August 24, 2024 and the record was last updated on August 24, 2024.

Antonia Stadom lists a license in the registry: #APF-1723795404-25666 (FL) for Behavior Technician. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Antonia Tamaya Stadom?

The NPI number is 1922831973.

What is the phone number of Antonia Stadom?

The phone number listed for the practice location is (321) 914-4055.

Where is Antonia Stadom located?

1320 Culver Dr NE Ste 3, Palm Bay, FL 32907-1104.

What is the taxonomy code for Antonia Stadom?

The primary taxonomy code is 106S00000X – Behavior Technician.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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