Individual
MRS. EMILY TIRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
128 WASHINGTON SQ, WASHINGTON, IL 61571-2657
(800) 773-1682
Mailing address
128 WASHINGTON SQ, WASHINGTON, IL 61571-2657
(800) 773-1682
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
02/22/2015
Last updated
02/22/2015
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