Breck Alise Tanner

Behavior Technician · Saint Petersburg, FL

Individual Active NPI

NPI number 1508591173

Practice location

425 44TH Ave NE
Saint Petersburg, FL 33703-5021
Phone
(727) 366-4445

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NPI record

NPI
1508591173
Entity type
Individual (Type 1)
Enumeration date
July 19, 2022
Last updated
July 19, 2022
Certified
July 19, 2022
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Behavior Technician Primary 106S00000X — —

About Breck Tanner

Breck Alise Tanner is a healthcare provider registered in the NPI registry with the primary taxonomy Behavior Technician (code 106S00000X). The practice location is 425 44TH Ave NE, Saint Petersburg, FL 33703-5021. The NPI number 1508591173 was assigned on July 19, 2022 and the record was last updated on July 19, 2022.

Frequently asked questions

What is the NPI number of Breck Alise Tanner?

The NPI number is 1508591173.

What is the phone number of Breck Tanner?

The phone number listed for the practice location is (727) 366-4445.

Where is Breck Tanner located?

425 44TH Ave NE, Saint Petersburg, FL 33703-5021.

What is the taxonomy code for Breck Tanner?

The primary taxonomy code is 106S00000X – Behavior Technician.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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