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Individual

TIONNA CHANTEL CHAMBLISS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
15023 21 MILE RD, SHELBY TOWNSHIP, MI 48315-5024
(586) 464-0175
Mailing address
6137 WINDEMERE LN, SHELBY TOWNSHIP, MI 48316-5380
(586) 530-4102

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
7401003135
MI
106S00000X
Behavior Technician

Other

Enumeration date
01/09/2017
Last updated
11/25/2025
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