Individual
TANEISHA ANTOINETTE THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
46426 LE GRANDE BLVD, MACOMB, MI 48044-4451
(586) 277-0523
Mailing address
46426 LE GRANDE BLVD, MACOMB, MI 48044-4451
(586) 277-0523
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
07/11/2023
Last updated
05/28/2025
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