Individual
TAJAH MOODY-WHITLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
155 MAIN DUNSTABLE RD STE 200, NASHUA, NH 03060-3640
(857) 212-0650
Mailing address
117 WHEATLAND AVE, DORCHESTER, MA 02124-1831
(857) 212-0650
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/23/2021
Last updated
08/23/2021
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