Mirene Tatah

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

8551 Greenbelt Rd Apt 103
Greenbelt, MD 20770-2335

Phone

(240) 797-6562

NPI assigned

Jan 29, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1706486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724889600000",
    "number": "1629830302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8551 GREENBELT RD APT 103",
            "city": "GREENBELT",
            "state": "MD",
            "postal_code": "207702335",
            "telephone_number": "240-797-6562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8551 GREENBELT RD APT 103",
            "city": "GREENBELT",
            "state": "MD",
            "postal_code": "207702335",
            "telephone_number": "240-797-6562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TATAH",
        "first_name": "MIRENE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-01-29",
        "last_updated": "2024-08-29",
        "certification_date": "2024-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MD",
            "license": "RSA-02033",
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mariana Tangwa, LPN
• Vivian Ebi Tanyi Fultang
• Orang Ayuk Tanyi
• Nosta Tanyidah
• Mary Tarawaley
• Eta Stephen Tataw, CRNP
• Stephen A Tatu, HHA
• Susan Ashley Taylor, CMA, MSW, LCSW-C
• Amin Tazitabong
• Caline Tchakounte

• Behavior Technician in Greenbelt, MD
• Providers in Greenbelt, MD by specialty
• Behavior Technician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2024; 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.