Iyer, Mallika Tara
Iyer, Mallika Tara is an individual health care provider with primary practice located at 64 S Bedford Street , Burlington MA 01803. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Iyer, Mallika Tara can be contacted via phone (857) 214-5461.Contact Information
Primary practice address
64 S Bedford Street
Burlington MA 01803
Phone: (857) 214-5461
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavior Technician | 106S00000X | Massachusetts |
Profile Details
| NPI number | 1780219089 |
|---|---|
| LBN Legal business name | Iyer, Mallika Tara |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 6th, 2020 |
| Last updated | Mar 6th, 2020 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1780219089 | NPPES |
| New Hampshire | Other | NHN16218503 | NEW HAMPSHIRE |
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