Individual
SUSAN E TIRELLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
100 CAMBRIDGE ST FL 14, BOSTON, MA 02114-2509
(857) 990-1056
(866) 695-2204
Mailing address
300 INTERNATIONAL PKWY STE 200, LAKE MARY, FL 32746-5028
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-07-3957
—
Other
Enumeration date
08/04/2010
Last updated
08/31/2020
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