Vanna Tan
Behavior Technician in San Mateo, CA. Individual provider (NPI-1).
NPI number1083173462
StatusActive
Last updated in NPPESMar 15, 2019
Details
- NPI
- 1083173462
- Entity type
- Individual (NPI-1)
- Name
- Vanna Tan
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 15, 2019
- Last updated
- Mar 15, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
1710 S Amphlett Blvd Ste 314San Mateo, CA 94402-2736
Phone 650-242-0179
Mailing address
365 Stoneridge LnSan Francisco, CA 94134-3178
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