Individual provider · NPI-1

Tiara Lakresha Alexander, BCBA

Behavior Analyst · Detroit, MI

NPI number1013453539
StatusActive
Last updated in NPPESJul 8, 2024

Details

NPI
1013453539
Entity type
Individual (NPI-1)
Name
Tiara Lakresha Alexander
Credential
BCBA
Sex
Female
Sole proprietor
No
Enumeration date
Jan 7, 2017
Certification date
Jul 8, 2024
Last updated
Jul 8, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
103K00000X Behavior Analyst7401000534MIYes

Practice location

3977 Hereford St
Detroit, MI 48224-1402

Phone 313-848-8018

Mailing address

3977 Hereford St
Detroit, MI 48224-1402

Phone 313-848-8018

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