Individual
TANISIA MARIA MIRELEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2730 SHADELANDS DR BLDG 10, WALNUT CREEK, CA 94598-2538
(925) 302-3833
Mailing address
1402 CEDARMEADOW CT, SAN JOSE, CA 95131-3700
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
—
Other
Enumeration date
11/16/2023
Last updated
11/16/2023
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