Bennett, Tanisha

Bennett, Tanisha is an individual health care provider with primary practice located at 1100 H St Nw Ste 640 , Washington DC 20005-5538. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Bennett, Tanisha can be contacted via phone (202) 846-8043.

Contact Information

Primary practice address
1100 H St Nw Ste 640 Washington DC 20005-5538
Phone: (202) 846-8043
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X District of Columbia

Profile Details

NPI number 1679110126
LBN Legal business name Bennett, Tanisha
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 3rd, 2019
Last updated Dec 3rd, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1679110126 NPPES
District of Columbia Other 724975312 AMERIGROUP

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