Individual
MS. TARA MARIE KOURY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA, LBA
Contact information
Practice address
235 GEORGIA AVE STE 110, PROVIDENCE, RI 02905-4516
(603) 884-0719
Mailing address
542 AMHERST ST STE B, NASHUA, NH 03063-1016
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
00155
RI
103K00000X
Behavior Analyst
10001499
MA
103K00000X
Behavior Analyst
1783
CT
Other
Enumeration date
01/10/2019
Last updated
07/17/2025
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