Individual
TARA WEISS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3325 18TH ST NW, WASHINGTON, DC 20010-1003
(301) 525-7729
Mailing address
3325 18TH ST NW, WASHINGTON, DC 20010-1003
(301) 525-7729
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-19-34472
—
103K00000X
Behavior Analyst
LBA631
MD
Other
Enumeration date
08/05/2019
Last updated
08/05/2019
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