Tyra Mason

NPI #1811587678 in Indian Head, Maryland

Provider Information

NPI Number: 1811587678
Entity Type: Individual
Name: Tyra Mason
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Jan 25, 2021
Last Updated: Jan 25, 2021

Practice Location

Address: 5823 OAK FOREST CT
City: Indian Head
State: Maryland
ZIP Code: 20640-3735
Phone: (301) 885-9752

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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