MRS. Susana T Tan

NPI #1255152377 in Walnut, California

Provider Information

NPI Number: 1255152377
Entity Type: Individual
Name: MRS. Susana T Tan
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: Oct 21, 2024
Last Updated: Oct 21, 2024

Practice Location

Address: 1350 PRINCETON DR
City: Walnut
State: California
ZIP Code: 91789-1256
Phone: (626) 363-3826

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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