Dallas Denique Tennessee, BS

NPI #1023635497 in Fort Wayne, Indiana

Provider Information

NPI Number: 1023635497
Entity Type: Individual
Name: Dallas Denique Tennessee, BS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Credential: BS
Enumeration Date: Jul 1, 2020
Last Updated: May 3, 2022

Practice Location

Address: 4422 E STATE BLVD
City: Fort Wayne
State: Indiana
ZIP Code: 46815-6917
Phone: (260) 471-9263

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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