Elizabeth Tavares

NPI #1013406164 in New Bedford, Massachusetts

Provider Information

NPI Number: 1013406164
Entity Type: Individual
Name: Elizabeth Tavares
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: May 4, 2018
Last Updated: Jun 16, 2018

Practice Location

Address: 85 LUKE ST
City: New Bedford
State: Massachusetts
ZIP Code: 02740-1329
Phone: (774) 992-6465

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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