Samuel Tanaka Tanner
Behavior Technician in Hermosa Beach, CA. Individual provider (NPI-1).
NPI number1609771237
StatusActive
Last updated in NPPESOct 13, 2026
Details
- NPI
- 1609771237
- Entity type
- Individual (NPI-1)
- Name
- Samuel Tanaka Tanner
- Sole proprietor
- No
- Enumeration date
- Oct 13, 2026
- Certification date
- Oct 13, 2026
- Last updated
- Oct 13, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
982 Artesia BlvdHermosa Beach, CA 90254-2707
Phone 866-756-0128
Mailing address
818 North BlvdOak Park, IL 60301-1302
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All 74 Behavior Technician providers in Hermosa Beach · All 694 providers in Hermosa Beach
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