Individual
TANASHI SHERELL LEONARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
737 N MAIN ST, MULLINS, SC 29574-1723
(843) 430-4805
Mailing address
737 N MAIN ST, MULLINS, SC 29574-1723
(843) 430-4805
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
SC
Other
Enumeration date
12/10/2025
Last updated
12/10/2025
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