Provider Demographics
NPI:1235931064
Name:TARANGO, KAREN JOANNA
Entity type:Individual
Prefix:
First Name:KAREN
Middle Name:JOANNA
Last Name:TARANGO
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1288 NE MOUNT OLYMPUS LN APT C304
Mailing Address - Street 2:
Mailing Address - City:BREMERTON
Mailing Address - State:WA
Mailing Address - Zip Code:98311-3896
Mailing Address - Country:US
Mailing Address - Phone:956-949-9203
Mailing Address - Fax:
Practice Address - Street 1:3377 BETHEL RD SE STE 107
Practice Address - Street 2:
Practice Address - City:PORT ORCHARD
Practice Address - State:WA
Practice Address - Zip Code:98366-5608
Practice Address - Country:US
Practice Address - Phone:831-400-5554
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-25
Last Update Date:2025-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician