Individual
TINA MARIE YEARBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1331 W NATIONAL AVE APT 212, MILWAUKEE, WI 53204-2174
(773) 953-0175
Mailing address
1331 W NATIONAL AVE APT 212, MILWAUKEE, WI 53204-2174
(773) 953-0175
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
WI
Other
Enumeration date
12/29/2025
Last updated
12/29/2025
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