Ai Jia Tan, BCBA, LABA
NPI #1700632254 in Bedford, Massachusetts
Provider Information
- NPI Number
- 1700632254
- Entity Type
- Individual
- Name
- Ai Jia Tan, BCBA, LABA
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Behavior Analyst
- Credential
- BCBA, LABA
- Enumeration Date
- Apr 25, 2024
- Last Updated
- Sep 3, 2024
Practice Location
- Address
- 54 MIDDLESEX TPKE STE 103
- City
- Bedford
- State
- Massachusetts
- ZIP Code
- 01730-1411
- Phone
- (617) 803-7717
Specialties & Taxonomy Codes
| Specialty |
|---|
| Behavior Analyst |
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