Provider Demographics
NPI:1619629805
Name:BARBEE, TIARA L (CBRF/CPR INSTRUCTOR)
Entity Type:Individual
Prefix:
First Name:TIARA
Middle Name:L
Last Name:BARBEE
Suffix:
Gender:F
Credentials:CBRF/CPR INSTRUCTOR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4359 S HOWELL AVE STE 104
Mailing Address - Street 2:
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53207-5056
Mailing Address - Country:US
Mailing Address - Phone:414-202-5697
Mailing Address - Fax:414-763-0501
Practice Address - Street 1:4359 S HOWELL AVE STE 104
Practice Address - Street 2:
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53207-5056
Practice Address - Country:US
Practice Address - Phone:414-837-6331
Practice Address - Fax:414-763-0501
Is Sole Proprietor?:Yes
Enumeration Date:2022-01-19
Last Update Date:2022-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities