Individual
TANIA SANTOSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5801 NW CORNELIUS PASS RD, HILLSBORO, OR 97124
(971) 762-1144
Mailing address
21600 OXNARD ST STE 1800, WOODLAND HILLS, CA 91367-7807
(818) 345-2345
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
OR
Other
Enumeration date
10/10/2018
Last updated
10/10/2018
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