Provider Demographics
NPI:1295476893
Name:CRANE, TANYA (BCBA, LBS)
Entity type:Individual
Prefix:MS
First Name:TANYA
Middle Name:
Last Name:CRANE
Suffix:
Gender:F
Credentials:BCBA, LBS
Other - Prefix:MS
Other - First Name:TANYA
Other - Middle Name:
Other - Last Name:BRUCIE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1808 COLONIAL VILLAGE LN STE 103
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:PA
Mailing Address - Zip Code:17601-6709
Mailing Address - Country:US
Mailing Address - Phone:717-391-0172
Mailing Address - Fax:
Practice Address - Street 1:1808 COLONIAL VILLAGE LN STE 103
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:PA
Practice Address - Zip Code:17601-6709
Practice Address - Country:US
Practice Address - Phone:717-391-0172
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-04-06
Last Update Date:2022-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
12045924103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst