Individual
ANTHONY MARTIN HYNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7602 16TH AVENUE, TAKOMA PARK, MD 20912
(240) 751-3627
Mailing address
7602 16TH AVE, 7602 16TH AVENUE, TAKOMA PARK, MD 20912-7038
(240) 751-3627
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0589TH
SPECIALIST
MD
Enumeration date
12/08/2015
Last updated
12/27/2015
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