Provider Demographics
NPI:1154045912
Name:BARRETT, TAHISHA M (RBT)
Entity type:Individual
Prefix:
First Name:TAHISHA
Middle Name:M
Last Name:BARRETT
Suffix:
Gender:F
Credentials:RBT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:400 SPRING HAVEN LOOP
Mailing Address - Street 2:
Mailing Address - City:SPRING HILL
Mailing Address - State:FL
Mailing Address - Zip Code:34608-9438
Mailing Address - Country:US
Mailing Address - Phone:135-255-6665
Mailing Address - Fax:
Practice Address - Street 1:1280 FINLAND DR
Practice Address - Street 2:
Practice Address - City:SPRING HILL
Practice Address - State:FL
Practice Address - Zip Code:34609-5550
Practice Address - Country:US
Practice Address - Phone:813-219-3246
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-09-26
Last Update Date:2022-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior TechnicianGroup - Single Specialty