MS. Talia Mimmo

NPI #1386912186 in Lowell, Massachusetts

Provider Information

NPI Number: 1386912186
Entity Type: Individual
Name: MS. Talia Mimmo
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Analyst
Enumeration Date: Dec 7, 2011
Last Updated: Dec 7, 2011

Practice Location

Address: 148 WARREN ST
City: Lowell
State: Massachusetts
ZIP Code: 01852-2208
Phone: (978) 452-1736

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Analyst	103K00000X	Primary

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