Tara Lynn Mickle

Behavior Technician · Concord, MA

Individual Active NPI

NPI number 1669010427

Practice location

575 Virginia Rd # 310b
Concord, MA 01742-2761
Phone
(978) 759-7002

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NPI record

NPI
1669010427
Entity type
Individual (Type 1)
Enumeration date
December 11, 2019
Last updated
December 11, 2019
Certified
December 11, 2019
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Behavior Technician Primary 106S00000X S25785508 MA

Mailing address

21600 Oxnard St
Woodland Hills, CA 91367-4976
Phone
(819) 345-2345

About Tara Mickle

Tara Lynn Mickle is a healthcare provider registered in the NPI registry with the primary taxonomy Behavior Technician (code 106S00000X). The practice location is 575 Virginia Rd # 310b, Concord, MA 01742-2761. The NPI number 1669010427 was assigned on December 11, 2019 and the record was last updated on December 11, 2019.

Tara Mickle lists a license in the registry: #S25785508 (MA) for Behavior Technician. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Tara Lynn Mickle?

The NPI number is 1669010427.

What is the phone number of Tara Mickle?

The phone number listed for the practice location is (978) 759-7002.

Where is Tara Mickle located?

575 Virginia Rd # 310b, Concord, MA 01742-2761.

What is the taxonomy code for Tara Mickle?

The primary taxonomy code is 106S00000X – Behavior Technician.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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