Tyra Villadiego, LAC is a
Behavior Technician based in Columbia, Maryland. Tyra Villadiego is licensed to practice in * (Not Available) (license number ) and her current practice location is
6935 Oakland Mills Rd, Columbia, Maryland. She can be reached at her office (for appointments etc.) via phone at
(410) 730-5079.
NPI number for Tyra Villadiego is 1609340652 and her current mailing address is 1621 Mithering Ln, Silver Spring, Maryland. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1609340652.
Healthcare Provider's Profile
Full Name | Tyra Villadiego |
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Gender | Female |
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Speciality | Behavior Technician |
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Location | 6935 Oakland Mills Rd, Columbia, Maryland |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1609340652
- Provider Enumeration Date: 01/13/2019
- Last Update Date: 02/03/2023
Medical Identifiers
Medical identifiers for Tyra Villadiego such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1609340652 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
171100000X | Acupuncturist | UO2465 (Maryland) | Secondary |
106S00000X | Behavior Technician | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Tyra Villadiego is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Tyra Villadiego, LAC 1621 Mithering Ln, Silver Spring, MD 20905-7045 Ph: () - | Tyra Villadiego, LAC 6935 Oakland Mills Rd, Columbia, MD 21045-4719 Ph: (410) 730-5079 |
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