Tyniese Holmes

NPI #1831702471 in Mattapan, Massachusetts

Provider Information

NPI Number: 1831702471
Entity Type: Individual
Name: Tyniese Holmes
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Aug 24, 2020
Last Updated: Aug 26, 2020

Practice Location

Address: 9 ITASCA ST APT 1
City: Mattapan
State: Massachusetts
ZIP Code: 02126-1429
Phone: (617) 922-7237

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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