Kassi Tanner

NPI #1013647031 in Pomona, California

Provider Information

NPI Number: 1013647031
Entity Type: Individual
Name: Kassi Tanner
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Jun 13, 2022
Last Updated: Jun 28, 2023

Practice Location

Address: 801 CORPORATE CENTER DR STE 210
City: Pomona
State: California
ZIP Code: 91768-2627
Phone: (909) 634-3974

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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