Edwards, Taniesha Charelle Blanco

Edwards, Taniesha Charelle Blanco is an individual health care provider with primary practice located at 801 Jefferson St Ste 45&6 , Fairfield CA 94533-5557. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Edwards, Taniesha Charelle Blanco can be contacted via phone (707) 720-3869.

Contact Information

Primary practice address
801 Jefferson St Ste 45&6 Fairfield CA 94533-5557
Phone: (707) 720-3869
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X

Profile Details

NPI number 1649815861
LBN Legal business name Edwards, Taniesha Charelle Blanco
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 12th, 2019
Last updated Nov 12th, 2019 - about 5 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.

Request for update

Popular Providers