Tambrallina Grove, MED

NPI #1013654540 in Columbus, Ohio

Provider Information

NPI Number: 1013654540
Entity Type: Individual
Name: Tambrallina Grove, MED
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Credential: MED
Enumeration Date: May 16, 2022
Last Updated: May 16, 2022

Practice Location

Address: 4664 LARWELL DR
City: Columbus
State: Ohio
ZIP Code: 43220-3621
Phone: (614) 487-7805

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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