Tia Randolph
Tia Randolph is a Behavior Technician in Odenton, Maryland. Registered with an NPI since 2020.
- In the registry since
- 2020
Practice location Address checks out
2288 Blue Water Blvd Ste 310Odenton, MD 21113-3301
Phone: (410) 630-6936
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Behavior Technician (primary) | Taxonomy 106S00000X |
|---|
Record details
| NPI number | 1518599547 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | February 7, 2020 |
| Last updated in NPPES | February 7, 2020 |
| Certification date | February 7, 2020 |
| Mailing address | 2288 Blue Water Blvd Ste 310, Odenton, MD 21113-3301 |
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