Ty'esha Dezalynn La'nae Smith
NPI #1093533820 in Grosse Pointe Farms, Michigan
Provider Information
- NPI Number
- 1093533820
- Entity Type
- Individual
- Name
- Ty'esha Dezalynn La'nae Smith
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Behavior Technician
- Enumeration Date
- Oct 1, 2024
- Last Updated
- Oct 1, 2024
Practice Location
- Address
- 131 KERCHEVAL AVE STE M450
- State
- Michigan
- ZIP Code
- 48236-3629
- Phone
- (313) 886-6000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Behavior Technician |
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