Eleesia Tardy, BEHAVIORAL THERAPIST
NPI #1194454850 in Tarzana, California
Provider Information
- NPI Number
- 1194454850
- Entity Type
- Individual
- Name
- Eleesia Tardy, BEHAVIORAL THERAPIST
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Behavior Analyst
- Credential
- BEHAVIORAL THERAPIST
- Enumeration Date
- Jun 8, 2022
- Last Updated
- Jun 8, 2022
Practice Location
- Address
- 5530 CORBIN AVE
- City
- Tarzana
- State
- California
- ZIP Code
- 91356-2914
- Phone
- (818) 600-8758
Specialties & Taxonomy Codes
| Specialty |
|---|
| Behavior Analyst |
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