TABITHA ANN BURNARD-TRAVIS NPI 1467969360

NPI Information

NPI: 1467969360
Provider Name: TABITHA ANN BURNARD-TRAVIS
Classification: Psychologist - 103TA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
1823 BUSINESS PARK BLVD
DAYTONA BEACH, FL
ZIP 32114
Phone: (386) 254-1931
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Tabitha Ann Burnard-travis is an addiction (substance use disorder) psychologist in Daytona Beach, FL. The provider is a psychologist with a proficiency that involves the application of psychological treatment of addiction stemming from the use of alcohol and other psychoactive substances (e.g., nicotine, marijuana, cocaine, heroin) or behavioral addictions (e.g., gambling) with the aim of cessation or reduction of use and/or the amelioration of emotional, behavioral, interpersonal and other problems arising from the addictive behavior. Tabitha Ann Burnard-travis NPI is 1467969360. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1823 BUSINESS PARK BLVD
DAYTONA BEACH, FL
ZIP 32114-230
Phone: (386) 254-1931

The enumeration date for this NPI number is 1/2/2018 and was last updated on 1/2/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	103TA0400X	Psychologist	Addiction (Substance Use Disorder)			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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