Individual
MYRA LASHA SEALS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
3239 PLAYERS CLUB PKWY, MEMPHIS, TN 38125-8845
(901) 256-4670
Mailing address
2858 ARLINGTON AVE, MEMPHIS, TN 38114-4401
(901) 240-2841
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-24-324666
TN
Other
Enumeration date
02/24/2025
Last updated
02/24/2025
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