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Individual

ELLERY TARASUK

Active
Sole proprietor
No

Provider details

NPI number
Gender
X
Credential
BT

Contact information

Practice address
142 DOTY CIR, WEST SPRINGFIELD, MA 01089-1310
(781) 424-8809
Mailing address
195 RAYMOND RD, WEST HARTFORD, CT 06107-2540
(860) 478-6910

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary

Other

Enumeration date
02/26/2026
Last updated
02/26/2026
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