Individual provider · Type 1 NPI
Jessica Mary Tabak
Developmental Therapist · New Bedford, MA
Practice location
1039 Marion St
New Bedford, MA 02745-3003
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Developmental Therapist Primary | 222Q00000X | None listed |
Developmental Therapist: A Developmental Therapist is a person qualified by completion of an approved program in Developmental Therapy and where applicable credentialed by the state and practicing within the scope of the credential, or credentialed by completion of education experiences as approved by the state and practicing within the scope of that credential or, where state credentialing does not exist, certified by the Board of the Deve…
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About NPI 1225892177
Jessica Mary Tabak's National Provider Identifier is 1225892177, issued on Feb 12, 2024. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in New Bedford, MA. The record was last updated on Feb 12, 2024.