Individual
JAE'LANI K TEBOU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8770 N THORNYDALE RD STE 170, TUCSON, AZ 85742-9167
(520) 230-3178
Mailing address
8770 N THORNYDALE RD STE 170, TUCSON, AZ 85742-9167
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/29/2024
Last updated
07/29/2024
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