Tisha Cannon

NPI #1790652949 in Bono, Arkansas

Provider Information

NPI Number: 1790652949
Entity Type: Individual
Name: Tisha Cannon
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: Oct 22, 2025
Last Updated: Oct 22, 2025

Practice Location

Address: 677 HIGHWAY 91 W
City: Bono
State: Arkansas
ZIP Code: 72416-8127
Phone: (870) 219-1027

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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