Individual
TYSHENA MOUZONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
148 BEACH 26TH ST APT 1, FAR ROCKAWAY, NY 11691-2206
(929) 766-8774
Mailing address
148 BEACH 26TH ST APT 1, FAR ROCKAWAY, NY 11691-2206
(929) 766-8774
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
11/06/2025
Last updated
11/06/2025
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