Individual
TATIANA ALTAMIRANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
225 CEDAR HILL ST STE 200, MARLBOROUGH, MA 01752-5900
(781) 975-6994
Mailing address
225 CEDAR HILL ST STE 200, MARLBOROUGH, MA 01752-5900
(781) 975-6994
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100021657571
MASS HEALTH
MA
01
—
100216347763
MASS HEALTH
MA
Enumeration date
01/14/2020
Last updated
01/14/2020
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