Tatyana Ivanova
Tatyana Ivanova is a Behavior Technician in Stoughton, Massachusetts. Practices as a sole proprietor. Registered with an NPI since 2022.
- In the registry since
- 2022
Practice location Address checks out
47 Wheeler Cir Apt 148Stoughton, MA 02072-1325
Phone: (617) 671-9992
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Behavior Technician (primary) | Taxonomy 106S00000X |
|---|
Record details
| NPI number | 1801528955 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | June 28, 2022 |
| Last updated in NPPES | June 28, 2022 |
| Certification date | June 28, 2022 |
| Mailing address | 47 Wheeler Cir Apt 148, Stoughton, MA 02072-1325 |
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