Individual
KAYLEE TANIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
17 LEGION PL, ROCHELLE PARK, NJ 07662-3209
(201) 843-3274
Mailing address
17 LEGION PL, ROCHELLE PARK, NJ 07662-3209
(201) 843-3274
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-23-263940
NJ
Other
Enumeration date
03/21/2023
Last updated
03/21/2023
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