Individual
ADDIE TYSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3000 MCKNIGHT EAST DR STE 102, PITTSBURGH, PA 15237-6422
(412) 295-6734
(412) 837-1290
Mailing address
3000 MCKNIGHT EAST DR STE 102, PITTSBURGH, PA 15237-6422
(412) 295-6734
(412) 837-1290
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BH005847
PA
106S00000X
Behavior Technician
RBT-20-125942
PA
Other
Enumeration date
10/07/2020
Last updated
10/13/2022
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