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Individual

AMANDA CHA TANNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
11550 SHERIDAN BLVD, WESTMINSTER, CO 80020-3311
(720) 352-7458
Mailing address
11164 CHEROKEE ST, NORTHGLENN, CO 80234-3918
(720) 448-5511

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
CO

Other

Enumeration date
10/07/2025
Last updated
10/24/2025
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