Individual
TIARA SHYRESE CLEMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCABA
Contact information
Practice address
50 PLAZA WAY NW STE A, MARIETTA, GA 30060-1141
(678) 691-2206
Mailing address
2472 JETT FERRY RD STE 400-197, ATLANTA, GA 30338-3059
(706) 491-1497
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
0-19-9612
GA
106E00000X
Assistant Behavior Analyst
Primary
—
—
Other
Enumeration date
12/30/2017
Last updated
03/29/2022
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