Tammie Venice Gist

NPI #1033736327 in Kennett, Missouri

Provider Information

NPI Number
1033736327
Entity Type
Individual
Name
Tammie Venice Gist
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Behavior Technician
Enumeration Date
Jul 2, 2020
Last Updated
Jul 2, 2020

Practice Location

Address
1226 INDEPENDENCE AVE
ZIP Code
63857-1316
Phone
(573) 559-2380

Specialties & Taxonomy Codes

Specialty
Behavior Technician

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