Jacqueline Sue Tanaka, BCABA is a
Assistant Behavior Analyst based in Colorado Springs, Colorado. Jacqueline Sue Tanaka is licensed to practice in Colorado (license number 0-07-2355) and her current practice location is
5912 Mapleton Dr, Colorado Springs, Colorado. She can be reached at her office (for appointments etc.) via phone at
(719) 233-5680.
NPI number for Jacqueline Sue Tanaka is 1386893402 and her current mailing address is 5912 Mapleton Dr, Colorado Springs, Colorado. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1386893402.
Healthcare Provider's Profile
Full Name | Jacqueline Sue Tanaka |
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Gender | Female |
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Speciality | Assistant Behavior Analyst |
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Location | 5912 Mapleton Dr, Colorado Springs, Colorado |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1386893402
- Provider Enumeration Date: 09/12/2008
- Last Update Date: 06/14/2021
Medical Identifiers
Medical identifiers for Jacqueline Sue Tanaka such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1386893402 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101Y00000X | Counselor | (* (Not Available)) | Secondary |
103K00000X | Behavior Analyst | (* (Not Available)) | Secondary |
106E00000X | Assistant Behavior Analyst | 0-07-2355 (Colorado) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jacqueline Sue Tanaka is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Jacqueline Sue Tanaka, BCABA 5912 Mapleton Dr, Colorado Springs, CO 80918-5679 Ph: (719) 233-5680 | Jacqueline Sue Tanaka, BCABA 5912 Mapleton Dr, Colorado Springs, CO 80918-5679 Ph: (719) 233-5680 |
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