Individual
TIANA MICHELLE TUBBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1437 WESTBROOKE ST, LAWRENCE, KS 66049-4060
(785) 764-2978
Mailing address
1437 WESTBROOKE ST, LAWRENCE, KS 66049-4060
(785) 764-2978
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
04/28/2019
Last updated
04/28/2019
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