Most Relevant Information
Provider Data
| NPI Number: | 1003551144 |
| Provider Name: | TYNEIKA RICKMAN |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 05/03/2022 |
| Last Updated: | 05/03/2022 |
Provider Practice Location
3611 SOCIALVILLE FOSTER RD
SUITE 101
MASON
OH
450407361
Practice Location Phone/Fax
| Phone: | 3039898169 |
| Fax: |
Provider Mailing Location
3611 SOCIALVILLE FOSTER RD
SUITE 101
MASON
OH
450407361
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |