Tiara Mallory, RBT
NPI #1003301748 in Chesapeake, Virginia
Provider Information
- NPI Number
- 1003301748
- Entity Type
- Individual
- Name
- Tiara Mallory, RBT
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Behavior Technician
- Credential
- RBT
- Enumeration Date
- Jun 26, 2018
- Last Updated
- Jun 26, 2018
Practice Location
- Address
- 3105 AMERICAN LEGION RD
- City
- Chesapeake
- State
- Virginia
- ZIP Code
- 23321-5654
- Phone
- (757) 216-9541
Specialties & Taxonomy Codes
| Specialty |
|---|
| Behavior Technician |
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