Tiesha Houston

NPI #1720829930 in Bowdon, Georgia

Provider Information

NPI Number: 1720829930
Entity Type: Individual
Name: Tiesha Houston
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Jun 3, 2024
Last Updated: Jun 3, 2024

Practice Location

Address: 191 HARVELL DR APT J2
City: Bowdon
State: Georgia
ZIP Code: 30108-1361
Phone: (470) 990-3185

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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