Individual
TYLER LEE CLEVELAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
940 NW GARDEN VALLEY BLVD STE 104, ROSEBURG, OR 97471-2098
(541) 378-4104
Mailing address
21600 OXNARD ST STE 1800, WOODLAND HILLS, CA 91367-7807
(818) 345-2345
(000) 000-0000
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
OR
Other
Enumeration date
10/14/2019
Last updated
10/14/2019
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