Carey Tanabe, PA-C

NPI #1992185425 in Meridian, Idaho

Provider Information

NPI Number: 1992185425
Entity Type: Individual
Name: Carey Tanabe, PA-C
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Analyst
Credential: PA-C
Enumeration Date: May 29, 2015
Last Updated: Dec 1, 2022

Practice Location

Address: 520 S EAGLE RD STE 3102
City: Meridian
State: Idaho
ZIP Code: 83642-6352
Phone: (208) 706-5100

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Analyst	103K00000X	Primary
Physician Assistant	363A00000X

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