Tyanna Tellice Rutherford

NPI #1710877295 in Romulus, Michigan

Provider Information

NPI Number: 1710877295
Entity Type: Individual
Name: Tyanna Tellice Rutherford
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Jul 7, 2025
Last Updated: Jul 7, 2025

Practice Location

Address: 38647 VALLEY VIEW DR
City: Romulus
State: Michigan
ZIP Code: 48174-4746
Phone: (313) 693-0709

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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