Breanna R Tack
NPI #1710658125 in Marlborough, Massachusetts
Provider Information
- NPI Number
- 1710658125
- Entity Type
- Individual
- Name
- Breanna R Tack
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Behavior Analyst
- Enumeration Date
- Sep 24, 2021
- Last Updated
- Sep 24, 2021
Practice Location
- Address
- 225 CEDAR HILL ST STE 200
- City
- Marlborough
- State
- Massachusetts
- ZIP Code
- 01752-5900
- Phone
- (877) 418-2978
Specialties & Taxonomy Codes
| Specialty |
|---|
| Behavior Analyst |
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