Healthcare Provider Details

I. General information

NPI: 1891677258
Provider Name (Legal Business Name): TANGIBLE HABITS, LLC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/24/2025
Last Update Date: 07/24/2025
Certification Date: 07/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17 PARKVIEW DR
PERRYSBURG OH
43551-3112
US

IV. Provider business mailing address

17 PARKVIEW DR
PERRYSBURG OH
43551-3112
US

V. Phone/Fax

Practice location:
  • Phone: 567-868-6924
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code252Y00000X
TaxonomyEarly Intervention Provider Agency
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code261QD1600X
TaxonomyDevelopmental Disabilities Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: TASHEENA HOGUE
Title or Position: BOARD CERTIFIED BEHAVIOR ANALYST
Credential: M.ED., BCBA, LBA
Phone: 567-868-6924