NPI 1205765146

Miairah Kavonne Hanson Tichenor

Practitioner Child Intellectual and/or Developmental Disabilities Respite Care Dayton, OH

Practice location

Address: 4643 Vanguard Ave, Dayton, OH 45417-5935
Phone: (937) 939-5700

Registered specialties

Child Intellectual and/or Developmental Disabilities Respite Care Primary

Respite Care Facility Taxonomy 385HR2060X

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Registry record

NPI: 1205765146
Entity type: Individual
Sex (as registered): Female
NPI issued: 18 May 2026
Record last updated: 18 May 2026

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.