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Individual

MRS. TANISHA CHANTEL SCOTT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LBS

Contact information

Practice address
222 N 17TH ST, PHILADELPHIA, PA 19103-1202
(215) 587-3700
Mailing address
500 OFFICE CENTER DR, FT WASHINGTON, PA 19034-3219
(570) 391-2309

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
106E00000X
Assistant Behavior Analyst
BH006714
PA
225700000X
Massage Therapist
MSG013423
PA

Other

Enumeration date
03/07/2024
Last updated
08/12/2025
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