Individual
MRS. TANDRA SHANICE YATES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., BCBA
Contact information
Practice address
7119 BRISTOL MEADOW LN, MEMPHIS, TN 38125-4289
(901) 292-5765
(901) 624-5292
Mailing address
7119 BRISTOL MEADOW LN, MEMPHIS, TN 38125-4289
(901) 292-5765
(901) 624-5292
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-14-9836
TN
Other
Enumeration date
12/11/2015
Last updated
12/11/2015
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