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1336607175
TANISHA L BENNETT
CHESAPEAKE, VA
NPI
1336607175
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2019-03-12
Last Update Date
2019-03-12
Business Address
MS. TANISHA L BENNETT
648 INDEPENDENCE PKWY STE 300
CHESAPEAKE, VA 23320-5208
Phone number: 757-716-7067
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Mailing Address
MS. TANISHA L BENNETT
21600 OXNARD ST
WOODLAND HILLS, CA 91367-4976
Phone number: 818-345-2345
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