Individual
TIARA ISIS LASHLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2644 METRO BLVD, MARYLAND HEIGHTS, MO 63043-2412
(314) 395-9375
Mailing address
338 BROADWAY ST STE 301, CAPE GIRARDEAU, MO 63701-7331
(573) 507-3715
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
12478319
MO
106S00000X
Behavior Technician
RBT-21-189889
MO
Other
Enumeration date
01/18/2022
Last updated
05/30/2025
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