Individual
MS. TALA KHAWAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, BCBA, NY LBA
Contact information
Practice address
50 HARRISON ST STE 114, HOBOKEN, NJ 07030-8843
(877) 873-4073
Mailing address
542 AMHERST ST, NASHUA, NH 03063-1016
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BACB554833
NJ
103K00000X
Behavior Analyst
—
—
Other
Enumeration date
09/21/2020
Last updated
02/11/2025
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