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

Therese Mariam Kavtaradze

Individual provider Behavior Technician · NPI 1902591894

Therese Mariam Kavtaradze is a Behavior Technician in Saint Augustine, Florida. Registered with an NPI since 2023.

In the registry since
2023

Practice location Address checks out

144 Moses Creek Blvd
Saint Augustine, FL 32086-5673
Phone: (732) 859-6223
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 number1902591894
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 7, 2023
Last updated in NPPESApril 7, 2023
Certification dateApril 7, 2023

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