Individual
MARISSA TANGUAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
396 WASHINGTON ST # 287, WELLESLEY HILLS, MA 02481-6209
(978) 877-3159
Mailing address
396 WASHINGTON ST # 287, WELLESLEY HILLS, MA 02481-6209
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
1-20-42110
MA
103K00000X
Behavior Analyst
Primary
LABA3118
MA
Other
Enumeration date
10/21/2024
Last updated
10/21/2024
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