Individual
HAYLEE TALLENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
321 W WALNUT ST STE 2, JOHNSON CITY, TN 37604-6774
(423) 202-3622
(423) 631-0019
Mailing address
321 W WALNUT ST STE 2, JOHNSON CITY, TN 37604-6774
(423) 202-3622
(423) 631-0019
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
23-312642
TN
Other
Enumeration date
12/11/2023
Last updated
12/11/2023
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