NPI 1548736267 · live from the CMS NPI Registry
Tyra Adeeko
Behavior Analyst in Springfield, MA. National Provider Identifier 1548736267, active.
NPI record
| NPI | 1548736267 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 38 Drexel St, Springfield, MA 01104 |
| Practice phone | 413-218-5687 |
| Enumerated | October 20, 2018 |
| Last updated | October 20, 2018 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Analyst primary | 103K00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.