Individual
ALLISON TANAKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7812 EDINGER AVE STE 400, HUNTINGTON BEACH, CA 92647-3727
(714) 916-0641
Mailing address
7812 EDINGER AVE STE 400, HUNTINGTON BEACH, CA 92647-3727
(714) 916-0641
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
224Z00000X
Occupational Therapy Assistant
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
10/11/2018
Last updated
07/15/2025
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