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

Individual provider Behavior Analyst · NPI 1518333780

Miss. Tara-Marie Malcolm is a Behavior Analyst in Pembroke Pines, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2015
Specialties on file
2
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Practice location Address checks out

11940 SW 12th St Bldg 115
Pembroke Pines, FL 33025-5719
Phone: (954) 274-2057
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X · Licence BACB301120 (FL)
Behavior Analyst Taxonomy 103K00000X

Record details

NPI number1518333780
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedAugust 11, 2015
Last updated in NPPESMay 3, 2022
Certification dateMay 3, 2022

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