Individual
ANDREW TIRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BCBA
Contact information
Practice address
312 MARSHALL AVE, SUITE 102, LAUREL, MD 20707-4824
(410) 382-3771
(877) 219-8773
Mailing address
312 MARSHALL AVE, SUITE 102, LAUREL, MD 20707-4824
(410) 382-3771
(877) 219-8773
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-14-10076
MD
Other
Enumeration date
11/19/2014
Last updated
11/19/2014
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