Provider Demographics
NPI:1790555076
Name:DAY, TANDI LEPREE
Entity Type:Individual
Prefix:
First Name:TANDI
Middle Name:LEPREE
Last Name:DAY
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 1:439 NEW HOUSE RD
Mailing Address - Street 2:
Mailing Address - City:ELLENBORO
Mailing Address - State:NC
Mailing Address - Zip Code:28040-6766
Mailing Address - Country:US
Mailing Address - Phone:828-748-9704
Mailing Address - Fax:
Practice Address - Street 1:439 NEW HOUSE RD
Practice Address - Street 2:
Practice Address - City:ELLENBORO
Practice Address - State:NC
Practice Address - Zip Code:28040-6766
Practice Address - Country:US
Practice Address - Phone:182-874-8970
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-01-08
Last Update Date:2024-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106E00000XBehavioral Health & Social Service ProvidersAssistant Behavior Analyst