Tara Wanukovich
Tara Wanukovich is a Behavior Analyst in East Patchogue, New York. Practices as a sole proprietor. Registered with an NPI since 2022.
- In the registry since
- 2022
Practice location Address checks out
29 Puritan AveEast Patchogue, NY 11772-5516
Phone: (631) 790-6126
Fax: (631) 569-4761
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Specialties & licences
| Behavior Analyst (primary) | Taxonomy 103K00000X |
|---|
Record details
| NPI number | 1790407781 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | September 15, 2022 |
| Last updated in NPPES | September 15, 2022 |
| Certification date | September 15, 2022 |
| Mailing address | 29 Puritan Ave, East Patchogue, NY 11772-5516 |
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