Chauncey Tanner

NPI #1114507142 in Cookeville, Tennessee

Provider Information

NPI Number: 1114507142
Entity Type: Individual
Name: Chauncey Tanner
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Apr 13, 2021
Last Updated: Apr 13, 2021

Practice Location

Address: 880 W JACKSON ST STE E
City: Cookeville
State: Tennessee
ZIP Code: 38501-7135
Phone: (989) 971-5608

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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