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Individual

TYEASHA WILLIAMS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M. ED., BCBA

Contact information

Practice address
229 N SHELDON RD, PLYMOUTH, MI 48170
(313) 278-4601
Mailing address
229 N SHELDON RD, PLYMOUTH, MI 48170-1524
(313) 278-4601

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
106S00000X
Behavior Technician
W452809488901
MI

Other

Enumeration date
02/10/2017
Last updated
02/12/2019
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