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

TATJANA MICUNOVIC, MS

Deactivated Sole Proprietor

TATJANA MICUNOVIC, MS is a Behavior Analyst healthcare provider located in WALTHAM, Massachusetts. NPI 1831663079 is deactivated in the NPPES registry. Verify at CMS.

Behavior Analyst · WALTHAM, MA

This NPI has been deactivated. The record was deactivated on March 7, 2019. Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated. Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.

Registration Details

NPI Number
1831663079
Provider Type
Individual
Gender
Female
NPI Issued
Jan 21, 2019 (0.12328767123288 yrs)
Last Updated
Feb 18, 2026
Deactivated
Mar 7, 2019
License
LABA10001780 (MA)
Sole Proprietor
Yes

Practice Information

Address
303 WYMAN ST STE 300
WALTHAM, MA, 024511255
Browse MA providers · Browse ZIP 02451
Phone
8002491266
Primary Specialty
Behavior Analyst
103K00000X

Other Behavior Analyst Providers in WALTHAM, MA

Name Credential NPI
MS. MELISSA DAWN PLUNKETT BCBA 1336465608
ELIZABETH ANNE KERN BA 1104142991
RACHEL L BISSI 1588981237
KARLIE MORROW 1871810176
MS. REGINA SALL 1548587561
MONICA DEFRANCA 1255650933
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.