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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

TARA LYNN MICKLE

Active

TARA LYNN MICKLE is a Behavior Technician healthcare provider located in CONCORD, Massachusetts. NPI 1669010427 is currently active in the NPPES registry. Verify at CMS.

Behavior Technician · CONCORD, MA

Registration Details

NPI Number
1669010427
Provider Type
Individual
Gender
Female
NPI Issued
Dec 11, 2019 (6.6758603356672 yrs)
Last Updated
Dec 11, 2019
License
S25785508 (MA)

Practice Information

Address
575 VIRGINIA RD # 310B
CONCORD, MA, 017422761
Browse MA providers · Browse ZIP 01742
Phone
9787597002
Primary Specialty
Behavior Technician
106S00000X

Other Behavior Technician Providers in CONCORD, MA

Name Credential NPI
MADELINE BARRETT 1609286244
KERI ROBBINS RBT 1871987214
MRS. SAMANTHA EXILDA ALLARD 1598287062
SARA MARIE KEELER BCAT 1689152647
MELISSA J MCCARTHY 1396212361
ZACHARY MILES PELKEY 1518505221
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.