Individual
MAUREEN TICHENOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1970 52ND ST, BROOKLYN, NY 11204-1731
(508) 217-4488
Mailing address
21 DILLINGHAM AVE, FALMOUTH, MA 02540-2814
(508) 495-1364
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
455
MA
Other
Enumeration date
10/30/2019
Last updated
10/30/2019
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