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Tyra Smith
NPI 1083120778 · on the registry since 2017 · sole proprietor
Practice
- Address
- 2017 College Ave Se
Grand Rapids, MI 49507 - Phone
- (616) 308-3671
- Organisation at this address
- Disclosures Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- Behavior Technician
106S00000X
- Sex
- Female
- Record last updated
- 2017-12-18
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan