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Individual
TANISHA N TATUM
Active
Individual
TANISHA N TATUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LEP
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
3897
CA
103K00000X
Behavior Analyst
—
—
103T00000X
Psychologist
Primary
3897
CA
103TS0200X
School Psychologist
3897
CA
225400000X
Rehabilitation Practitioner
—
CA
Other
Enumeration date
03/25/2020
Last updated
06/13/2023
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