Phoebe Patricia Tanuwidjaja, BS

NPI #1245017631 in Natick, Massachusetts

Provider Information

NPI Number: 1245017631
Entity Type: Individual
Name: Phoebe Patricia Tanuwidjaja, BS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Credential: BS
Enumeration Date: Sep 11, 2023
Last Updated: Sep 11, 2023

Practice Location

Address: 6 STRATHMORE RD
City: Natick
State: Massachusetts
ZIP Code: 01760-2419
Phone: (508) 650-5940

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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