Tarika Forman

NPI #1174289078 in Colwich, Kansas

Provider Information

NPI Number: 1174289078
Entity Type: Individual
Name: Tarika Forman
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Nov 15, 2021
Last Updated: Nov 15, 2021

Practice Location

Address: 709 BROOKSIDE PL
City: Colwich
State: Kansas
ZIP Code: 67030-9683
Phone: (131) 636-4876

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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