Provider Demographics
NPI:1093690893
Name:TAMARA CONTRERAS, HAROLD ANDRES
Entity type:Individual
Prefix:
First Name:HAROLD
Middle Name:ANDRES
Last Name:TAMARA CONTRERAS
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6265 CONTESSA DR APT 302
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32829-8002
Mailing Address - Country:US
Mailing Address - Phone:407-928-0483
Mailing Address - Fax:
Practice Address - Street 1:6265 CONTESSA DR APT 302
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32829-8002
Practice Address - Country:US
Practice Address - Phone:407-928-0483
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-11
Last Update Date:2025-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician