Individual
TYSHEECA DEANDREA WASHINGTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1535 GREENBRIAR VILLA CIRCLE, BROOKSVILLE, FL 34601
(352) 702-7703
Mailing address
1535 GREENBRIAR VILLA CIR, BROOKSVILLE, FL 34601-3859
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
—
Other
Enumeration date
06/21/2017
Last updated
06/21/2017
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