Individual
TYRENIESHIA ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1250 SW RAILROAD AVE, HAMMOND, LA 70403-5001
(985) 500-3240
Mailing address
11544 ASHLEY LN, HAMMOND, LA 70401-4793
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
01/06/2020
Last updated
01/06/2020
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