Tyler Large

NPI #1093429441 in Alpine, California

Provider Information

NPI Number
1093429441
Entity Type
Individual
Name
Tyler Large
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Behavior Technician
Enumeration Date
Jan 10, 2023
Last Updated
Jan 10, 2023

Practice Location

Address
2120 ALPINE BLVD
City
Alpine
ZIP Code
91901-2113
Phone
(619) 445-2644

Specialties & Taxonomy Codes

Specialty
Behavior Technician

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