MRS. Tisha L Gholson

NPI #1396368288 in Chesterfield, Virginia

Provider Information

NPI Number: 1396368288
Entity Type: Individual
Name: MRS. Tisha L Gholson
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: May 26, 2020
Last Updated: Jan 14, 2026

Practice Location

Address: 14201 MASADA CT
City: Chesterfield
State: Virginia
ZIP Code: 23838-8725
Phone: (804) 299-0058

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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