Individual
MR. JUSTIN TABER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
681 FALMOUTH RD # C1115, MASHPEE, MA 02649-3327
(508) 419-4320
Mailing address
21600 OXNARD ST, WOODLAND HILLS, CA 91367-4976
(508) 419-4320
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
02/22/2019
Last updated
02/22/2019
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