Tyesha Shonta Wofford
Tyesha Shonta Wofford is a Behavior Technician in Poplar Bluff, Missouri. Practices as a sole proprietor. Registered with an NPI since 2017.
- In the registry since
- 2017
Practice location Address checks out
2981 Kanell BlvdPoplar Bluff, MO 63901-4008
Phone: (573) 712-2902
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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 number | 1578077749 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | November 27, 2017 |
| Last updated in NPPES | November 27, 2017 |
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