Tanaka, Jacqueline Sue

Tanaka, Jacqueline Sue is an sole proprietor health care provider with primary practice located at 5912 Mapleton Dr , Colorado Springs CO 80918-5679. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Behavioral Analyst, Behavioral Health & Social Service Providers / Assistant Behavior Analyst. Behavioral Health & Social Service Providers / Assistant Behavior Analyst is her primary health care specialty. Tanaka, Jacqueline Sue can be contacted via phone (719) 233-5680.

Contact Information

Primary practice address
5912 Mapleton Dr Colorado Springs CO 80918-5679
Phone: (719) 233-5680
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X
Behavioral Health & Social Service Providers / Assistant Behavior Analyst 106E00000X 0-07-2355 Colorado

Profile Details

NPI number 1386893402
LBN Legal business name Tanaka, Jacqueline Sue
Credentials BCABA
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 12th, 2008
Last updated Jun 14th, 2021 - 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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