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Individual

TYANNA LASHAWN PRESTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2080 WHITNEY AVE, HAMDEN, CT 06518-3600
(203) 789-6240
Mailing address
6 BEACH VIEW LN, NEW HAVEN, CT 06513-2226
(203) 928-9264

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary

Other

Enumeration date
03/18/2024
Last updated
03/18/2024
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