Individual
TYNISIARA ALEXIANTE STACIANA BARNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
112 HAVEN DR, DOTHAN, AL 36301-2907
(334) 446-4268
Mailing address
112 HAVEN DR, DOTHAN, AL 36301-2907
(334) 446-4268
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-20-140373
AL
Other
Enumeration date
12/20/2021
Last updated
03/26/2025
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