Provider Demographics
NPI:1336684968
Name:CESAIRE, TANISHA GENTIL (MS, BCBA)
Entity Type:Individual
Prefix:
First Name:TANISHA
Middle Name:GENTIL
Last Name:CESAIRE
Suffix:
Gender:F
Credentials:MS, BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6960 SW 39TH ST APT E207
Mailing Address - Street 2:
Mailing Address - City:DAVIE
Mailing Address - State:FL
Mailing Address - Zip Code:33314-2450
Mailing Address - Country:US
Mailing Address - Phone:954-589-8026
Mailing Address - Fax:
Practice Address - Street 1:6960 SW 39TH ST APT E207
Practice Address - Street 2:
Practice Address - City:DAVIE
Practice Address - State:FL
Practice Address - Zip Code:33314-2450
Practice Address - Country:US
Practice Address - Phone:954-589-8026
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-01-06
Last Update Date:2022-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst