Tanisha Camill Serrano

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Practice address

4760 Oakland St Ste 100
Denver, CO 80239-2732

Phone

(720) 543-0761

NPI assigned

Oct 18, 2021

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1634515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634515200000",
    "number": "1417610338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4760 OAKLAND ST STE 100",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802392732",
            "telephone_number": "720-543-0761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4760 OAKLAND ST STE 100",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802392732",
            "telephone_number": "720-543-0761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SERRANO",
        "first_name": "TANISHA",
        "middle_name": "CAMILL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-18",
        "last_updated": "2021-10-18",
        "certification_date": "2021-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jill N Serrahn, MD
• Stephane Paul Serrano-Cocuelle, LPC
• Ashley Serrano
• Judah Warren Serrano, PH.D.
• Luz Marcela Serrano
• Gina Marie Serrao, MSW
• Daniel Serrato
• Irene N Serunkuma, LPN
• Serve All Medical Colorado PPLC
• Service Optimizing Solutions, Inc.

• Behavior Analyst in Denver, CO
• Providers in Denver, CO by specialty
• Behavior Analyst in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.