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NPI Code Detail

MEDICARE: TIANA MUNRO

MEDICARE: TIANA MUNRO
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 TechnicianIN

General Provider Information

NPI Number : 1154277234
Entity Type Code : Individual
Provider Name (Legal Business Name) : TIANA MUNRO
Provider Business Mailing Address
First Line : 6233 JUSTIN CT
Second Line :
City : FORT WAYNE
State : IN
Zip : 46835-2516
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 6233 JUSTIN CT
Second Line :
City : FORT WAYNE
State : IN
Zip : 46835-2516
Country : US
Telephone Number : 260-205-4116
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/10/2026
Last Update Date : 03/10/2026

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Directions to “ TIANA MUNRO ” Practice Location

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