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NPI Profile for TABITHA A BURNARD TRAVIS in DAYTONA BEACH, FL.
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.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Addiction (Substance Use Disorder) |
103TA0400X | 62 | Psychologist, Clinical |
| NPI # | 1467969360 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 01/02/2018 | |
| Last updated | 01/02/2018 - About 8 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |
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TABITHA A BURNARD TRAVIS
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TABITHA A BURNARD TRAVIS