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NPI Code Detail

MEDICARE: TENYSE NICHELLE TASBY

MEDICARE: TENYSE NICHELLE TASBY
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106S00000XBehavior TechnicianRBT-18-62632TX
2103K00000XBehavior Analyst4258TX

General Provider Information

NPI Number : 1528665254
Entity Type Code : Individual
Provider Name (Legal Business Name) : TENYSE NICHELLE TASBY
Provider Business Mailing Address
First Line : 7003 LADERA LN
Second Line :
City : MISSOURI CITY
State : TX
Zip : 77459-4761
Country : US
Telephone Number : 832-754-2584
Fax Number :
Provider Business Practice Location Address
First Line : 6914 BRISBANE CT
Second Line :
City : SUGAR LAND
State : TX
Zip : 77479-4923
Country : US
Telephone Number : 844-272-7223
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/06/2020
Last Update Date : 06/07/2024

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Directions to “ TENYSE NICHELLE TASBY ” Practice Location

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