Silver Kimdetra Tally
Silver Kimdetra Tally is a Behavior Technician in Southgate, Michigan. Practices as a sole proprietor. Licensed in Michigan.
- Licensed in
- MI
- In the registry since
- 2026
Practice location Address checks out
1 Heritage Dr Ste 100Southgate, MI 48195-3047
Phone: (734) 767-2250
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Behavior Technician (primary) | Taxonomy 106S00000X (MI) |
|---|
Record details
| NPI number | 1710895537 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | September 1, 2026 |
| Last updated in NPPES | September 1, 2026 |
| Certification date | September 1, 2026 |
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