Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ava E Tisdale

Individual provider Behavior Technician · NPI 1083316509

Ava E Tisdale is a Behavior Technician in Lake Mary, Florida. Registered with an NPI since 2023.

In the registry since
2023

Practice location Address checks out

300 International Pkwy Ste 200
Lake Mary, FL 32746-5028
Phone: (866) 610-0580
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X

Record details

NPI number1083316509
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 20, 2023
Last updated in NPPESMarch 20, 2023
Certification dateMarch 20, 2023
Mailing address300 International Pkwy Ste 200, Lake Mary, FL 32746-5028

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