Individual
TATIANA M VILAS BOAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPPD, NICP
Contact information
Practice address
5719 63RD ST APT 2, MASPETH, NY 11378-2812
(914) 382-0059
Mailing address
5719 63RD ST APT 2, MASPETH, NY 11378-2812
(914) 382-0059
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
374J00000X
Doula
Primary
—
NY
Other
Enumeration date
08/15/2024
Last updated
08/03/2026
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