Tara Lynn Mickle
Tara Lynn Mickle is a Behavior Technician in Concord, Massachusetts. Licensed in Massachusetts. Registered with an NPI since 2019.
- Licensed in
- MA
- In the registry since
- 2019
Practice location Address checks out
575 Virginia Rd # 310BConcord, MA 01742-2761
Phone: (978) 759-7002
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Behavior Technician (primary) | Taxonomy 106S00000X · Licence S25785508 (MA) |
|---|
Record details
| NPI number | 1669010427 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | December 11, 2019 |
| Last updated in NPPES | December 11, 2019 |
| Certification date | December 11, 2019 |
| Mailing address | 21600 Oxnard St, Woodland Hills, CA 91367-4976 |
Other providers in Concord
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Sarah Klieger
575 Virginia Rd Ste 310B, Concord, MA 01742-2761 · (978) 759-7002
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Aiden Moore
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Zachary Miles Pelkey
575 Virginia Rd, Concord, MA 01742-2761 · (978) 759-7002
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Campbell Jane Reilley
555 Virginia Rd, Concord, MA 01742-2770 · (781) 674-0000
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Anne Marie Robinson
555 Virginia Rd, Concord, MA 01742-2770 · (781) 674-0000