Tyree Beecham

Individual provider Active NPI Behavior Technician · Derwood, MD

NPI 1760098362 · NPPES record last updated Sep 18, 2020

Key facts

NPI
1760098362
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
7529 Standish PL Ste 355
Derwood, MD 20855-2733
Phone
(301) 444-5001
NPI assigned
Sep 18, 2020
Sex
Female
Sole proprietor
Yes

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)CodeLicenseStatePrimary
Behavior Technician 106S00000X Yes

Addresses

Primary practice location

7529 Standish PL Ste 355
Derwood, MD 20855-2733

Mailing address

7529 Standish PL Ste 355
Derwood, MD 20855-2733
Phone (301) 444-5001

Other providers in Derwood, MD

All providers in Derwood, MD · Behavior Technician in Maryland

Sources for this page

Verify at the official NPI Registry.