Tyra Mullins
Behavior Technician in Detroit, MI. Individual provider (NPI-1).
NPI number1366111007
StatusActive
Last updated in NPPESApr 13, 2022
Details
- NPI
- 1366111007
- Entity type
- Individual (NPI-1)
- Name
- Ms. Tyra Mullins
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 7, 2021
- Certification date
- Apr 13, 2022
- Last updated
- Apr 13, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
| 156F00000X | Technician/Technologist | – | – |
Practice location
7375 Woodward Ave Ste 2800Detroit, MI 48202-3157
Phone 888-922-2843 · Fax 855-568-2494
Mailing address
7375 Woodward Ave Ste 2800Detroit, MI 48202-3157
Phone 888-922-2843 · Fax 855-568-2494
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