Individual
TAMANNA TASNIM HAQUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
109 PETERBOROUGH ST APT 24, BOSTON, MA 02215-4225
(631) 987-4328
Mailing address
3 DARLING ST APT 9, BOSTON, MA 02120-2845
(631) 987-4328
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
MA
Other
Enumeration date
03/22/2018
Last updated
07/13/2020
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