Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TYDARIAN ROSHAWN KELLY
Active Sole ProprietorTYDARIAN ROSHAWN KELLY is a Behavior Technician healthcare provider located in APEX, North Carolina. NPI 1346815230 is currently active in the NPPES registry. Verify at CMS.
Behavior Technician · APEX, NC
Registration Details
- NPI Number
- 1346815230
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 24, 2021 (5.1877523140775 yrs)
- Last Updated
- May 24, 2021
- Sole Proprietor
- Yes
Practice Information
- Address
-
852 PERRY RDAPEX, NC, 275027701Browse NC providers · Browse ZIP 27502
- Phone
- 9194465670
- Primary Specialty
-
Behavior Technician
106S00000X
Other Behavior Technician Providers in APEX, NC
| Name | Credential | NPI |
|---|---|---|
| MICHAEL TYLER DUTCHER | — | 1427673409 |
| MIKAYLA SORTISIO | — | 1215510615 |
| JOSEPH L BEACH | RBT | 1881278869 |
| ANTONIO COLE | — | 1457925232 |
| MISS IJEOMA ASINUGO | — | 1891361994 |
| MARGARET CAROLINE BURWELL | — | 1508432501 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.