Individual
PAMELA LYNN TENEYCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
94 BALCOM ST, MANSFIELD, MA 02048-2009
(508) 339-5155
Mailing address
94 BALCOM ST, MANSFIELD, MA 02048-2009
(508) 339-5155
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-07-3690
MA
Other
Enumeration date
11/21/2014
Last updated
11/21/2014
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