Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Tyan Phyonna Missouri

Individual provider Behavior Technician · NPI 1609559988

Tyan Phyonna Missouri is a Behavior Technician in Riverbank, California. Registered with an NPI since 2023.

In the registry since
2023
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Practice location Address checks out

5501 Antique Rose Way
Riverbank, CA 95367-9505
Phone: (833) 599-2560
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X

Record details

NPI number1609559988
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 11, 2023
Last updated in NPPESAugust 11, 2023
Certification dateAugust 11, 2023
Mailing address850 Towbin Ave, Lakewood, NJ 08701-5928

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