Individual
TIASHA TAUKOBONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7000 AUSTIN ST STE 200, FOREST HILLS, NY 11375-4739
(718) 762-7633
Mailing address
14420 38TH AVE APT 1K, FLUSHING, NY 11354-5916
(516) 557-9525
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
11/14/2024
Last updated
11/14/2024
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