Tyrese Malik Ingram Valid NPI

Individual provider · Behavior Technician · Dallas, GA

NPI

1912898602

Type

Individual (Type 1)

Primary specialty

Behavior Technician

Specialty group

Behavioral Health & Social Service Providers

Taxonomy code

106S00000X

Sex

Male

Sole proprietor

No

Enumerated

2025-07-11

Last updated

2025-07-11