Russell, Tanaesza Cyan

Russell, Tanaesza Cyan is an individual health care provider with primary practice located at 77 W Baltimore Pike Ste 100B , Media PA 19063-5639. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavior Technician, Behavioral Health & Social Service Providers / Behavioral Analyst. Behavioral Health & Social Service Providers / Behavioral Analyst is her primary health care specialty. Russell, Tanaesza Cyan can be contacted via phone (610) 572-5520.

Contact Information

Primary practice address
77 W Baltimore Pike Ste 100B Media PA 19063-5639
Phone: (610) 572-5520
Fax: (610) 527-5521
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X BH006264 Pennsylvania

Profile Details

NPI number 1205474723
LBN Legal business name Russell, Tanaesza Cyan
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 16th, 2019
Last updated Jan 3rd, 2023 - about 3 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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