Provider Demographics
NPI:1275227860
Name:ROBINSON, TANIA ISLEY
Entity Type:Individual
Prefix:
First Name:TANIA
Middle Name:ISLEY
Last Name:ROBINSON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:81 ROTERHAM DR
Mailing Address - Street 2:
Mailing Address - City:CLAYTON
Mailing Address - State:NC
Mailing Address - Zip Code:27527-7094
Mailing Address - Country:US
Mailing Address - Phone:201-898-4463
Mailing Address - Fax:
Practice Address - Street 1:81 ROTERHAM DR
Practice Address - Street 2:
Practice Address - City:CLAYTON
Practice Address - State:NC
Practice Address - Zip Code:27527-7094
Practice Address - Country:US
Practice Address - Phone:201-898-4463
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-06
Last Update Date:2023-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician