Provider Demographics
NPI:1427591122
Name:TIRRI, GINA (BCBA)
Entity Type:Individual
Prefix:MS
First Name:GINA
Middle Name:
Last Name:TIRRI
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 OSBORN ST
Mailing Address - Street 2:
Mailing Address - City:STONY POINT
Mailing Address - State:NY
Mailing Address - Zip Code:10980-3651
Mailing Address - Country:US
Mailing Address - Phone:914-419-5570
Mailing Address - Fax:
Practice Address - Street 1:10 OSBORN ST
Practice Address - Street 2:
Practice Address - City:STONY POINT
Practice Address - State:NY
Practice Address - Zip Code:10980-3651
Practice Address - Country:US
Practice Address - Phone:914-419-5570
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-11-29
Last Update Date:2016-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY000265103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst