Tanaira Alston
Individual provider Active NPI Behavior Technician · Fulton, MD
NPI 1164090007 · NPPES record last updated Jun 16, 2021
Key facts
- NPI
- 1164090007
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 8115 Maple Lawn Blvd Ste 350
Fulton, MD 20759-2683 - Phone
- (718) 360-9548
- NPI assigned
- Jun 16, 2021
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Yes |
Addresses
Primary practice location
8115 Maple Lawn Blvd Ste 350
Fulton, MD 20759-2683
Mailing address
8115 Maple Lawn Blvd Ste 350
Fulton, MD 20759-2683
Phone (718) 360-9548
Other providers in Fulton, MD
- Amahri Allen
- Amy Allen
- Jaydah Allen
- Allyders Health
- Sherease Alston
- Hend Altajjar
- Schuyler Olivia Ames
- Omolara Omolola Amosu
- Muluwork Amsalu
- Anesthesia Company, LLC
All providers in Fulton, MD · Behavior Technician in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 16, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.