Individual
ERIN J TENNANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2712 TANGY CT, DAYTON, OH 45414-3043
(937) 898-3196
(937) 898-3724
Mailing address
11 W MONUMENT AVE FL 7, DAYTON, OH 45402-1274
(193) 746-1430
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
031947
—
OH
Enumeration date
11/01/2021
Last updated
11/01/2021
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