Tiandra L Provo, MHS
Tiandra L Provo, MHS is a Behavior Technician in Baton Rouge, Louisiana. Registered with an NPI since 2018.
- In the registry since
- 2018
- Specialties on file
- 2
Practice location Address checks out
216 Lobdell AveBaton Rouge, LA 70806-4612
Phone: (225) 439-8198
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Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X |
|---|---|
| Behavior Technician | Taxonomy 106S00000X |
Record details
| NPI number | 1497230957 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | MHS |
| Sole proprietor | No |
| NPI enumerated | October 1, 2018 |
| Last updated in NPPES | January 26, 2022 |
| Certification date | January 26, 2022 |
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