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Tyrel Judson

Behavior Technician in New Bern, NC. Individual provider (NPI-1).

NPI number1982309241
StatusActive
Last updated in NPPESApr 4, 2023

Details

NPI
1982309241
Entity type
Individual (NPI-1)
Name
Tyrel Judson
Sex
Male
Sole proprietor
No
Enumeration date
Apr 4, 2023
Certification date
Apr 4, 2023
Last updated
Apr 4, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician––Yes

Practice location

2994 Old Airport Rd
New Bern, NC 28562-8738

Phone 855-223-7123 · Fax 619-374-7134

Mailing address

16782 Von Karman Ave Ste 11
Irvine, CA 92606-2417

Phone 855-223-7123 · Fax 619-374-7134

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