Most Relevant Information
Provider Data
| NPI Number: | 1003539248 |
| Provider Name: | TYLAN CIERRA ALEXANDER |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 09/22/2022 |
| Last Updated: | 09/22/2022 |
Provider Practice Location
17140 BEL RAY PL
BELTON
MO
640125331
Practice Location Phone/Fax
| Phone: | 8167308525 |
| Fax: | 8162651828 |
Provider Mailing Location
17140 BEL RAY PL
BELTON
MO
640125331
Provider Mailing Phone/Fax
| Phone: | 8167308525 |
| Fax: | 8162651828 |