Provider Demographics
NPI:1629204912
Name:MAHER, TAMMY (MS, BCBA)
Entity Type:Individual
Prefix:
First Name:TAMMY
Middle Name:
Last Name:MAHER
Suffix:
Gender:F
Credentials:MS, BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2390 HARTFORD RD
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17402-8886
Mailing Address - Country:US
Mailing Address - Phone:717-324-6232
Mailing Address - Fax:
Practice Address - Street 1:2390 HARTFORD RD
Practice Address - Street 2:
Practice Address - City:YORK
Practice Address - State:PA
Practice Address - Zip Code:17402-8886
Practice Address - Country:US
Practice Address - Phone:717-324-6232
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-01
Last Update Date:2009-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA1-05-2559103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst