Individual
STEPHEN TASONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4660 MARTIN LUTHER KING JR AVE SW, WASHINGTON, DC 20032-4933
(202) 318-0179
Mailing address
11303 SPRINGPARK CT, GLENN DALE, MD 20769-9611
(240) 260-8688
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
10/17/2023
Last updated
02/02/2024
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