IndividualActive
Tanarris Cannon
NPI 1124716071 · Behavior Technician · Dundee, FL
Provider details
- NPI number
- 1124716071
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 23-291721 (FL)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
214 Grace Ave
Dundee, FL 33838-4564
Phone: (863) 307-6548
Approximate (ZIP-level) locationGet directions
Mailing address
214 Grace Ave
Dundee, FL 33838-4564
Registry dates
- Enumerated
- 2023-04-28
- Last updated
- 2023-08-22
- Certified
- 2023-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.