| Doctor Name: | DR. TAMARA PAWICH |
| NPI Number: | 1013212299 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PH.D., BCBA-D |
| License Number: | 9438 |
| Business Practice Address: | 150 W University Blvd Scott Center For Autism Treatment Melbourne, FL - 329016982 |
| Business Phone Number: | 3216748106 |
| Business Fax Number: | |
| Mailing Address: | 150 W University Blvd, Scott Center For Autism Treatment MELBOURNE |
| State: | FL |
| Postal Code: | 329016982 |
| Phone Number: | 3216748106 |
| Fax Number: | |
| NPI Enumeration Date: | 01/19/2011 |
| NPI Last Update Date: | 12/03/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 9438 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NE |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |