Alicia Tatum

NPI #1649010638 in Russell, Kansas

Provider Information

NPI Number: 1649010638
Entity Type: Individual
Name: Alicia Tatum
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: May 28, 2024
Last Updated: May 28, 2024

Practice Location

Address: 971 E WICHITA AVE
City: Russell
State: Kansas
ZIP Code: 67665-2444
Phone: (785) 377-4744

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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