Individual
ELLEN RUTH TANNEBAUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7001 JOHNNYCAKE RD, WINDSOR MILL, MD 21244-2418
(410) 774-9840
Mailing address
4193 FALLOW DR, HAMPSTEAD, MD 21074-2587
(410) 736-9233
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
01/20/2022
Last updated
01/20/2022
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