Individual
SHANE EDWARD TAPPE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BCBA
Contact information
Practice address
12300 PERRY HWY, WEXFORD, PA 15090-8379
(724) 933-4673
Mailing address
12300 PERRY HWY, WEXFORD, PA 15090-8379
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BACB365710
PA
Other
Enumeration date
05/18/2021
Last updated
05/18/2021
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