Individual
TYESHA KESWANA BUTLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3287 ASHURST BAR RD, TALLASSEE, AL 36078-5616
(334) 332-7821
Mailing address
3287 ASHURST BAR RD, TALLASSEE, AL 36078-5616
(334) 332-7821
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/30/2026
Last updated
06/30/2026
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