Individual
DEANNA TARDIFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
542 NORTH ST, FITCHBURG, MA 01420-2541
(603) 997-7209
Mailing address
542 NORTH ST, FITCHBURG, MA 01420-2541
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
LABA10001771
MA
Other
Enumeration date
09/11/2025
Last updated
09/11/2025
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