Individual
MICHELLE RAE TYE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3416 GONI RD STE D132, CARSON CITY, NV 89706
(775) 232-3229
(775) 232-3229
Mailing address
2450 SENECA DR, RENO, NV 89506-9111
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
18-58830
NV
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
11/28/2017
Last updated
08/17/2018
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