BEGIN:VCARD VERSION:3.0 FN:Tykira Spencer N:Spencer;Tykira;;; TITLE:Behavior Technician TEL;TYPE=WORK,VOICE:+13014445001 URL:https://www.gale.care/providers/md/rockville/tykira-spencer-1750236626 NOTE:NPI 1750236626. From the NPPES registry (CMS)\, file of 2026-06-08. No t affiliated with Gale. X-NPI:1750236626 END:VCARD