Tanesha Washington
Individual provider Active NPI Behavior Technician · Georgetown, IN
NPI 1912443102 · NPPES record last updated Jan 11, 2017
Key facts
- NPI
- 1912443102
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 515 Maplewood Blvd
Georgetown, IN 47122-9261 - Phone
- (812) 508-8624
- NPI assigned
- Jan 11, 2017
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Yes |
Addresses
Primary practice location
515 Maplewood Blvd
Georgetown, IN 47122-9261
Mailing address
515 Maplewood Blvd
Georgetown, IN 47122-9261
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All providers in Georgetown, IN · Behavior Technician in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 11, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.