Tanner Fonjweng

NPI Registration Record

Provider / OrganizationNPIDate Certified
TANNER FONJWENG16499323362021-10-10

Tanner Fonjweng is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1649932336. Registration indicates Tanner Fonjweng is a provider of services with a specialization in Behavioral Health & Social Service Providers, Behavior Technician (Behavior Technician, Behavioral Health & Social Service Providers) (Behavior Technician, )

Entity TypeIndividual
Provider Name Tanner Fonjweng
Practice Office Address4023 KENNETT PIKE # 988
Practice Office Telephone4845779928
Mailing Address31 WHITE BIRCH BLVD
BEAR, DE 197014121 US
Business Telephone3025076742
HPT Codes
License No
106S00000X PRIMARY
Behavioral Health & Social Service Providers
Behavior Technician
Behavior Technician
Behavioral Health & Social Service Providers
Behavior Technician
OPI Codes
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