Individual provider · Type 1 NPI
Miairah Kavonne Hanson Tichenor
Child Intellectual and/or Developmental Disabilities Respite Care · Dayton, OH
NPI number
1205765146
Active
Practice location
4643 Vanguard Ave
Dayton, OH 45417-5935
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Child Intellectual and/or Developmental Disabilities Respite Care Primary | 385HR2060X | None listed |
Child Intellectual and/or Developmental Disabilities Respite Care: A facility or distinct part of a facility that provides short term, residential care to children diagnosed with intellectual and/or developmental disabilities as respite for the regular caregivers.
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About NPI 1205765146
Miairah Kavonne Hanson Tichenor's National Provider Identifier is 1205765146, issued on May 18, 2026. The primary taxonomy on file is Child Intellectual and/or Developmental Disabilities Respite Care (385HR2060X), and the practice location is in Dayton, OH. The record was last updated on May 18, 2026.