Individual
TEESHA CARMON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8865 NORWIN AVE STE 27123, IRWIN, PA 15642-2769
(866) 287-2036
Mailing address
12845 LITTLE ELLIOTT DR APT 7, HAGERSTOWN, MD 21742-0004
(866) 287-2036
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
11/19/2020
Last updated
11/19/2020
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