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Taneeka Chantia Patreece Lyles

Behavior Technician in Shelton, CT. Individual provider (NPI-1).

NPI number1962028233
StatusActive
Last updated in NPPESJun 22, 2020

Details

NPI
1962028233
Entity type
Individual (NPI-1)
Name
Taneeka Chantia Patreece Lyles
Sex
Female
Sole proprietor
No
Enumeration date
Jun 22, 2020
Certification date
Jun 22, 2020
Last updated
Jun 22, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician––Yes

Practice location

4 Research Dr Ste 402
Shelton, CT 06484-6242

Phone 818-241-6780 · Fax 818-241-6853

Mailing address

1055 E Colorado Blvd
Pasadena, CA 91106-2327

Phone 818-241-6780 · Fax 818-241-6853

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