Tyreka Black
Behavior Technician in Wilmington, DE. Individual provider (NPI-1).
NPI number1528873973
StatusActive
Last updated in NPPESFeb 12, 2025
Details
- NPI
- 1528873973
- Entity type
- Individual (NPI-1)
- Name
- Ms. Tyreka Black
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 12, 2025
- Certification date
- Feb 12, 2025
- Last updated
- Feb 12, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
4023 Kennett Pike # 988Wilmington, DE 19807-2018
Phone 484-577-9928
Mailing address
1000 Chestnut StWilmington, DE 19805-4025
Phone 302-450-8766
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