Individual
TYANNA LEAH HARTLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3712 MACARTHUR BLVD STE 100, NEW ORLEANS, LA 70114-6861
(504) 882-8105
Mailing address
21600 OXNARD ST STE 1800, WOODLAND HILLS, CA 91367-7807
(828) 345-2345
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
01191473
LA
Other
Enumeration date
03/30/2021
Last updated
03/30/2021
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