Tayisha Faustin
NPI #1821651480 in Boston, Massachusetts
Provider Information
- NPI Number
- 1821651480
- Entity Type
- Individual
- Name
- Tayisha Faustin
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Behavior Technician
- Enumeration Date
- Apr 19, 2019
- Last Updated
- Apr 19, 2019
Practice Location
- Address
- 131 WALNUT AVE
- City
- Boston
- State
- Massachusetts
- ZIP Code
- 02119-1858
- Phone
- (857) 399-3897
Specialties & Taxonomy Codes
| Specialty |
|---|
| Behavior Technician |
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