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Individual

TYLER INGHAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
770 PARK CENTRE DR, KERNERSVILLE, NC 27284-3598
(704) 780-4271
Mailing address
1505 VALLEYMEDE RD, GREENSBORO, NC 27410-3939
(407) 404-1508

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
106S00000X
Behavior Technician

Other

Enumeration date
03/08/2018
Last updated
12/16/2020
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