Tanya Fuentes, BCBA, LBA
Behavior Analyst in Lakewood, NJ. Individual provider (NPI-1).
NPI number1336747401
StatusActive
Last updated in NPPESFeb 25, 2025
Details
- NPI
- 1336747401
- Entity type
- Individual (NPI-1)
- Name
- Tanya Fuentes
- Credential
- BCBA, LBA
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 12, 2020
- Certification date
- Feb 25, 2025
- Last updated
- Feb 25, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103K00000X | Behavior Analyst | 1-22-63138 | CA | Yes |
Other names
- Tanya Abu-Khalaf (Former Name)
Practice location
1776 Avenue Of The StatesLakewood, NJ 08701-4591
Phone 732-730-0700
Mailing address
11660 Church St Apt 9Rancho Cucamonga, CA 91730-8918
Phone 909-240-6848
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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