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Individual

TANIS MCMILLAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RBT

Contact information

Practice address
915 S MCKINLEY ST, CASPER, WY 82601-3440
(307) 265-2182
(307) 265-2183
Mailing address
915 S MCKINLEY ST, CASPER, WY 82601-3440
(307) 265-2182
(307) 265-2183

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-22-219468
WY

Other

Enumeration date
06/08/2022
Last updated
06/08/2022
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