Ellen Ruth Tannebaum

NPI #1528710662 in Windsor Mill, Maryland

Provider Information

NPI Number: 1528710662
Entity Type: Individual
Name: Ellen Ruth Tannebaum
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Analyst
Enumeration Date: Jan 20, 2022
Last Updated: Jan 20, 2022

Practice Location

Address: 7001 JOHNNYCAKE RD
City: Windsor Mill
State: Maryland
ZIP Code: 21244-2418
Phone: (410) 774-9840

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Analyst	103K00000X	Primary

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