Provider Demographics
NPI:1811636525
Name:TASCHNER, NOEL (RBT, BSSW)
Entity type:Individual
Prefix:
First Name:NOEL
Middle Name:
Last Name:TASCHNER
Suffix:
Gender:F
Credentials:RBT, BSSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:507 JEFFERSON ST APT 5
Mailing Address - Street 2:
Mailing Address - City:VERMILLION
Mailing Address - State:SD
Mailing Address - Zip Code:57069-2638
Mailing Address - Country:US
Mailing Address - Phone:712-318-0922
Mailing Address - Fax:
Practice Address - Street 1:124 PARKVIEW DR
Practice Address - Street 2:
Practice Address - City:SOUTH SIOUX CITY
Practice Address - State:NE
Practice Address - Zip Code:68776-3815
Practice Address - Country:US
Practice Address - Phone:712-318-0922
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-06-01
Last Update Date:2022-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NEH14026450104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker