Individual
TASHARRA CHRISTINA LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8904 WOODWARD AVE, DETROIT, MI 48202-1821
(313) 552-6670
Mailing address
8904 WOODWARD AVE, DETROIT, MI 48202-1821
(313) 552-6670
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
MI
247200000X
Other Technician
Primary
—
MI
Other
Enumeration date
12/09/2025
Last updated
12/09/2025
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