Individual
TAH-TIANA TAKIRA LUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
310 N MERIDIAN STE 209, PUYALLUP, WA 98371-8644
(253) 339-6094
Mailing address
10423 RAINIER RIDGE BLVD E APT F302, PUYALLUP, WA 98374-8056
(253) 242-0514
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
06/01/2023
Last updated
06/01/2023
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