Juwan Lamont Tyler

NPI #1205512407 in Clare, Michigan

Provider Information

NPI Number: 1205512407
Entity Type: Individual
Name: Juwan Lamont Tyler
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Jun 23, 2023
Last Updated: Jun 23, 2023

Practice Location

Address: 1395 N MCEWAN ST
City: Clare
State: Michigan
ZIP Code: 48617-1111
Phone: (989) 286-7707

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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