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Individual

TERRIANA JANAI TAPER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
6140 W EXECUTIVE DR, MEQUON, WI 53092-4499
(888) 754-0398
Mailing address
4103 N 47TH ST, MILWAUKEE, WI 53216-1528
(262) 402-4825

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
WI

Other

Enumeration date
08/23/2024
Last updated
08/23/2024
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