IndividualActive
Jennifer Tavarez, SLP M.A. C.C.C.
NPI 1306091665 · Speech-Language Pathologist · Dania Beach, FL
Provider details
- NPI number
- 1306091665
- Entity type
- Individual
- Primary specialty
- Speech-Language PathologistSpeech, Language and Hearing Service Providers
- Credential
- SLP M.A. C.C.C.
- Sex
- Female
- Sole proprietor
- Yes
- License
- 015235-1 (NY)
Specialties & taxonomies
Speech, Language and Hearing Service Providers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
622 Trafalgar Ct
Dania Beach, FL 33004-5412
Phone: (917) 526-9430
Street-level locationGet directions
Mailing address
15 Lake Riconda Dr
Ringwood, NJ 07456-1303
Additional practice locations (1)
- 116 W 32nd St Fl 8New York, NY 10001-3212Phone: (212) 564-2350
Registry dates
- Enumerated
- 2008-11-28
- Last updated
- 2022-07-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.