Jennie Tyner
Behavior Technician in Anderson, SC. Individual provider (NPI-1).
NPI number1982192860
StatusActive
Last updated in NPPESApr 26, 2018
Details
- NPI
- 1982192860
- Entity type
- Individual (NPI-1)
- Name
- Jennie Tyner
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 26, 2018
- Last updated
- Apr 26, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | 17-39840 | SC | Yes |
Practice location
4323 Old Mill Rd Ste BAnderson, SC 29621-1117
Phone 864-671-1466
Mailing address
2580 Lin DO CtSumter, SC 29150-1832
Phone 803-905-4427 · Fax 803-905-4431
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All 104 Behavior Technician providers in Anderson · All 2,834 providers in Anderson
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