Tanisha Mack
Tanisha Mack is a Behavior Technician in Orange Park, Florida. Registered with an NPI since 2020.
- In the registry since
- 2020
Practice location Address checks out
1563 Kingsley Ave Ste 103Orange Park, FL 32073-4503
Phone: (904) 602-9740
Fax: (904) 637-4724
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Behavior Technician (primary) | Taxonomy 106S00000X |
|---|
Record details
| NPI number | 1629688163 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | August 7, 2020 |
| Last updated in NPPES | August 7, 2020 |
| Certification date | August 7, 2020 |
| Mailing address | 300 International Parkway, Suite 200, Lake Mary, FL 32746-3625 |
Other providers in Orange Park
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McKenzie Lowe
1567 Kingsley Ave, Orange Park, FL 32073-4510 · (904) 602-9740
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Mr. William Macik III
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Noelle Brittany Malone
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Meagen Mann
782 Foxridge Center Dr, Orange Park, FL 32065-5776 · (904) 637-1400
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Mr. Andre Manning
1563 Kingsley Ave, Orange Park, FL 32073-4503 · (904) 602-9740
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Monica Marquez Marquez, RBT
540 George Watson St, Orange Park, FL 32073-8562 · (786) 912-8466