Ivanova, Tatyana
Ivanova, Tatyana is an sole proprietor health care provider with primary practice located at 47 Wheeler Cir Apt 148 , Stoughton MA 02072-1325. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Ivanova, Tatyana can be contacted via phone (617) 671-9992.Contact Information
Primary practice address
47 Wheeler Cir Apt 148
Stoughton MA 02072-1325
Phone: (617) 671-9992
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavior Technician | 106S00000X |
Profile Details
| NPI number | 1801528955 |
|---|---|
| LBN Legal business name | Ivanova, Tatyana |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 28th, 2022 |
| Last updated | Jun 28th, 2022 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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