Tatyana Ivanova

NPI #1801528955 in Stoughton, Massachusetts

Provider Information

NPI Number: 1801528955
Entity Type: Individual
Name: Tatyana Ivanova
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: Jun 28, 2022
Last Updated: Jun 28, 2022

Practice Location

Address: 47 WHEELER CIR APT 148
City: Stoughton
State: Massachusetts
ZIP Code: 02072-1325
Phone: (617) 671-9992

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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