Individual
ANNALISE RENAE TANBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2802 NEW BIRCH DR, RALEIGH, NC 27610-7000
(919) 342-6047
Mailing address
180 RYNAL DR, GARNER, NC 27529-8615
(505) 228-9294
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
NC
Other
Enumeration date
10/20/2025
Last updated
10/20/2025
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