Individual
TATJANA MICUNOVIC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
303 WYMAN ST STE 300, WALTHAM, MA 02451-1255
(800) 249-1266
Mailing address
2733 E 12TH ST STE C2, BROOKLYN, NY 11235-4672
(800) 249-1266
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
LABA10001780
MA
Other
Enumeration date
01/21/2019
Last updated
02/18/2026
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