Tierra Brown
Individual provider Active NPI Behavior Technician · Accokeek, MD
NPI 1366099673 · NPPES record last updated Sep 20, 2021
Key facts
- NPI
- 1366099673
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 14315 Devinger PL
Accokeek, MD 20607-3773 - Phone
- (240) 691-2451
- NPI assigned
- Aug 21, 2019
- 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 | MD | Yes |
Addresses
Primary practice location
14315 Devinger PL
Accokeek, MD 20607-3773
Mailing address
13802 Stroh CT
Accokeek, MD 20607-3780
Phone (240) 691-2451
Other practice location 1
13802 Stroh Ct
Accokeek, MD 20607-3780
Phone (240) 691-2451
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- Keisha R. Church
- Audre M Codrington
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All providers in Accokeek, 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 Sep 20, 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.