MRS. Susan Emerald Tanner

NPI #1669916953 in Wellington, Colorado

Provider Information

NPI Number: 1669916953
Entity Type: Individual
Name: MRS. Susan Emerald Tanner
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Dec 6, 2016
Last Updated: Dec 6, 2016

Practice Location

Address: 2551 E COUNTY ROAD 62E
City: Wellington
State: Colorado
ZIP Code: 80549-1502
Phone: (318) 446-3238

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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