Individual
JENNIFER TASCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1195 MEADOW BRIDGE DR STE A, BEAVERCREEK, OH 45434-4302
(937) 306-8811
Mailing address
3086 BURR OAK CT, KETTERING, OH 45420-1222
(224) 245-6224
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
11727144
OH
Other
Enumeration date
12/06/2017
Last updated
12/06/2017
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