Provider Demographics
NPI:1457833410
Name:KRON, TARANDA RENAE
Entity Type:Individual
Prefix:
First Name:TARANDA
Middle Name:RENAE
Last Name:KRON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:TARANDA
Other - Middle Name:
Other - Last Name:YARBOROUGH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:33 LYNN BATTS LN APT 5104
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78218-3067
Mailing Address - Country:US
Mailing Address - Phone:910-922-6958
Mailing Address - Fax:
Practice Address - Street 1:33 LYNN BATTS LN APT 5104
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78218-3067
Practice Address - Country:US
Practice Address - Phone:910-922-6958
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-09-05
Last Update Date:2018-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician