Tyisha Roman
Tyisha Roman is a Behavior Technician in Benton Harbor, Michigan. Registered with an NPI since 2018.
- In the registry since
- 2018
Practice location Address checks out
1651 E Nickerson AveBenton Harbor, MI 49022-2469
Phone: (269) 983-5833
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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 | 1588141816 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | July 19, 2018 |
| Last updated in NPPES | November 29, 2021 |
| Certification date | November 29, 2021 |
| Mailing address | 1651 E Nickerson Ave, Benton Harbor, MI 49022-2469 |
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