Individual
AKIEL-TYLER GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6911 LAUREL BOWIE RD STE 309, BOWIE, MD 20715-1712
(301) 755-4021
Mailing address
17230 KING JAMES WAY, GAITHERSBURG, MD 20877-2252
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-19-37344
—
Other
Enumeration date
12/15/2019
Last updated
09/30/2022
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