Individual
TASIA DENNIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
57 E GARFIELD ST, PHILADELPHIA, PA 19144-5934
(215) 960-4451
Mailing address
57 E GARFIELD ST, PHILADELPHIA, PA 19144-5934
(215) 960-4451
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
05/24/2020
Last updated
05/24/2020
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