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NPI Code Detail

MEDICARE: TISHANA L DORRAH

MEDICARE: TISHANA L DORRAH
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 Technician25-427701CA

General Provider Information

NPI Number : 1497541361
Entity Type Code : Individual
Provider Name (Legal Business Name) : TISHANA L DORRAH
Provider Business Mailing Address
First Line : 444 BALLANTYNE ST
Second Line :
City : EL CAJON
State : CA
Zip : 92020-3798
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 396 N MAGNOLIA AVE
Second Line :
City : EL CAJON
State : CA
Zip : 92020-3908
Country : US
Telephone Number : 858-264-5858
Fax Number : 858-649-6012
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/17/2025
Last Update Date : 04/17/2025

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Directions to “ TISHANA L DORRAH ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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