Tyra Hardin
NPI #1528551157 in Portales, New Mexico
Provider Information
- NPI Number
- 1528551157
- Entity Type
- Individual
- Name
- Tyra Hardin
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Behavior Technician
- Enumeration Date
- Jun 8, 2018
- Last Updated
- Jun 8, 2018
Practice Location
- Address
- 205 NEW MEXICO DR
- City
- Portales
- State
- New Mexico
- ZIP Code
- 88130-7040
- Phone
- (505) 386-8204
Specialties & Taxonomy Codes
| Specialty |
|---|
| Behavior Technician |
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