Tai Coburn

NPI #1326855768 in Pembroke, Massachusetts

Provider Information

NPI Number: 1326855768
Entity Type: Individual
Name: Tai Coburn
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Dec 17, 2024
Last Updated: Dec 17, 2024

Practice Location

Address: 20 WINTER ST
City: Pembroke
State: Massachusetts
ZIP Code: 02359-4965
Phone: (508) 287-8692

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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