Tanina Alexis Gatison

NPI #1699377481 in Shelton, Connecticut

Provider Information

NPI Number: 1699377481
Entity Type: Individual
Name: Tanina Alexis Gatison
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Nov 16, 2020
Last Updated: Nov 16, 2020

Practice Location

Address: 1 RESERVOIR CORPORATE CENTER
Address 2: 4 RESEARCH DR STE 415
City: Shelton
State: Connecticut
ZIP Code: 06484
Phone: (818) 241-6780

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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