Individual
MISS TERA T PASSERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., BCBA
Contact information
Practice address
110 COLUMBIA ST, ADAMS, MA 01220-1361
(508) 363-0200
Mailing address
6B SHEAR CT, WATERFORD, NY 12188-2137
(908) 531-0872
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
12147530
CT
Other
Enumeration date
03/10/2021
Last updated
06/30/2022
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