Tia Hennigan

NPI #1003389867 in Rockville, Maryland

Provider Information

NPI Number: 1003389867
Entity Type: Individual
Name: Tia Hennigan
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: Jan 4, 2019
Last Updated: Jan 4, 2019

Practice Location

Address: 7529 STANDISH PL # 355
City: Rockville
State: Maryland
ZIP Code: 20855-2733
Phone: (703) 636-5418

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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