NPI 1033788807
Trayvon Tennyson
Practice location
- Address
- 166 Greenland Dr, McDonough, GA 30253-5725
- Phone
- (470) 526-0826
Registered specialties
Behavior Technician
Primary
Registry record
- NPI
- 1033788807
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 24 Jun 2021
- Record last updated
- 24 Jun 2021
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.