Tara Marie Costello
NPI #1043042690 in Farmington, Connecticut
Provider Information
- NPI Number
- 1043042690
- Entity Type
- Individual
- Name
- Tara Marie Costello
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Behavior Technician
- Enumeration Date
- Aug 14, 2024
- Last Updated
- Aug 14, 2024
Practice Location
- Address
- 304 MAIN ST STE A
- City
- Farmington
- State
- Connecticut
- ZIP Code
- 06032-2985
- Phone
- (845) 490-7830
Specialties & Taxonomy Codes
| Specialty |
|---|
| Behavior Technician |
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