Individual
MRS. TARA KERVICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
205 BURLINGTON RD, BEDFORD, MA 01730-1406
(781) 862-3600
Mailing address
227 CHELMSFORD ST, CHELMSFORD, MA 01824-2305
(978) 732-7171
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
3467-MH-B1
MA
106S00000X
Behavior Technician
—
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000023532
BMC
MA
01
—
042611055
TAX ID
MA
01
—
1004745
NHP
MA
01
—
1303287
MBHP
MA
01
—
99618201
NETWORK HEALTH
MA
01
—
M18633
BCBS
MA
Enumeration date
04/05/2017
Last updated
12/17/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us