Individual
TIERRA ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
7160 PRESTON RD STE 200, PLANO, TX 75024-3280
(972) 769-5938
Mailing address
7160 PRESTON RD STE 200, PLANO, TX 75024-3280
(972) 769-5938
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
RBT-19-95052
TX
Other
Enumeration date
10/11/2019
Last updated
10/11/2019
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