Individual
MR. MICHAEL JAMES TENNANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BCBA, LABA
Contact information
Practice address
108 HILLCREST RD, DRACUT, MA 01826-2041
(781) 240-9074
Mailing address
108 HILLCREST RD, DRACUT, MA 01826-2041
(781) 240-9074
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
LABA10001012
MA
Other
Enumeration date
09/07/2024
Last updated
09/07/2024
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