Individual
TIASIAH CLINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10 6TH AVE W, HUNTINGTON, WV 25701-0028
(304) 525-8014
Mailing address
10 6TH AVE W, HUNTINGTON, WV 25701-0028
(304) 525-8014
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-25415001
WV
3747P1801X
Personal Care Attendant
—
WV
Other
Enumeration date
12/09/2024
Last updated
03/24/2025
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