Bianca Ayessa H Tan
NPI #1609622216 in Beaumont, California
Provider Information
- NPI Number
- 1609622216
- Entity Type
- Individual
- Name
- Bianca Ayessa H Tan
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Behavior Technician
- Enumeration Date
- Apr 25, 2024
- Last Updated
- Apr 25, 2024
Practice Location
- Address
- 1257 JACKSON CT
- City
- Beaumont
- State
- California
- ZIP Code
- 92223-7524
- Phone
- (951) 750-9771
Specialties & Taxonomy Codes
| Specialty |
|---|
| Behavior Technician |
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