Individual
TYNETTE CHANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
5425 WISCONSIN AVE STE 600, CHEVY CHASE, MD 20815-3588
(202) 780-8976
Mailing address
PO BOX 237, PATUXENT RIVER, MD 20670-0237
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
LBA317
MD
Other
Enumeration date
02/13/2007
Last updated
10/26/2017
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