Tanaka Mararike
Behavior Technician in Worcester, MA. Individual provider (NPI-1).
NPI number1467167247
StatusActive
Last updated in NPPESJan 17, 2023
Details
- NPI
- 1467167247
- Entity type
- Individual (NPI-1)
- Name
- Tanaka Mararike
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jan 17, 2023
- Certification date
- Jan 17, 2023
- Last updated
- Jan 17, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
345a Greenwood StWorcester, MA 01607-1753
Phone 508-363-0200
Mailing address
345a Greenwood StWorcester, MA 01607-1753
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