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NPI Code Detail

MEDICARE: TASHA VENEY

MEDICARE: TASHA VENEY
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
1374U00000XHome Health Aide
2106S00000XBehavior Technician

General Provider Information

NPI Number : 1902167240
Entity Type Code : Individual
Provider Name (Legal Business Name) : TASHA VENEY
Provider Business Mailing Address
First Line : 850 TOWBIN AVE
Second Line :
City : LAKEWOOD
State : NJ
Zip : 08701-5928
Country : US
Telephone Number : 833-599-2560
Fax Number :
Provider Business Practice Location Address
First Line : 1050 CONNECTICUT AVE NW STE 500
Second Line :
City : WASHINGTON
State : DC
Zip : 20036-5304
Country : US
Telephone Number : 833-599-2560
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/04/2012
Last Update Date : 08/14/2024

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Directions to “ TASHA VENEY ” Practice Location

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