Individual
TIAYRA SHANI BRANCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
146 TIMBER CREEK DR, CORDOVA, TN 38018-4395
(901) 249-7838
Mailing address
3520 HECKLE AVE, MEMPHIS, TN 38111-5104
(901) 679-2641
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
TN
Other
Enumeration date
03/12/2021
Last updated
03/12/2021
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