Individual
GENIVEVE TANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
500 DISCOVERY PKWY STE 100, SUPERIOR, CO 80027-8637
(720) 647-8541
(972) 378-4747
Mailing address
6105 WINDCOM CT STE 400, PLANO, TX 75093-9003
(972) 312-8733
(972) 378-4747
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-20-44410
CO
106S00000X
Behavior Technician
—
—
Other
Enumeration date
08/05/2019
Last updated
10/26/2021
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