Most Relevant Information
Provider Data
| NPI Number: | 1003315003 |
| Provider Name: | CHARNAY TYES |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 02/05/2018 |
| Last Updated: | 02/05/2018 |
Provider Practice Location
3518 W 25TH ST
CLEVELAND
OH
441091951
Practice Location Phone/Fax
| Phone: | 2167412241 |
| Fax: |
Provider Mailing Location
3518 W 25TH ST
CLEVELAND
OH
441091951
Provider Mailing Phone/Fax
| Phone: | 2167412241 |
| Fax: |