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NPI Code Detail

MEDICARE: KAREN JOANNA TARANGO

MEDICARE:   KAREN JOANNA TARANGO
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 Technician

General Provider Information

NPI Number : 1235931064
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAREN JOANNA TARANGO
Provider Business Mailing Address
First Line : 1288 NE MOUNT OLYMPUS LN APT C304
Second Line :
City : BREMERTON
State : WA
Zip : 98311-3896
Country : US
Telephone Number : 956-949-9203
Fax Number :
Provider Business Practice Location Address
First Line : 3377 BETHEL RD SE STE 107
Second Line :
City : PORT ORCHARD
State : WA
Zip : 98366-5608
Country : US
Telephone Number : 831-400-5554
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/25/2025
Last Update Date : 03/25/2025

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Directions to “ KAREN JOANNA TARANGO ” Practice Location

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