Tyara Libese Walla
Tyara Libese Walla is a Behavior Technician in Windsor, Connecticut. Licensed in Connecticut. Registered with an NPI since 2021.
- Licensed in
- CT
- In the registry since
- 2021
Practice location Address checks out
360 Bloomfield Ave Ste 301Windsor, CT 06095-2700
Phone: (888) 880-9270
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Specialties & licences
| Behavior Technician (primary) | Taxonomy 106S00000X (CT) |
|---|
Record details
| NPI number | 1629733191 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | November 1, 2021 |
| Last updated in NPPES | November 1, 2021 |
| Certification date | November 1, 2021 |
| Mailing address | 500 Fairway Dr Ste 102, Deerfield Beach, FL 33441-1817 |
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360 Bloomfield Ave Ste 301, Windsor, CT 06095-2700 · (877) 418-2978
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