Provider Demographics
NPI:1902378177
Name:TUCHAPSKY, TANIA (BCBA)
Entity Type:Individual
Prefix:
First Name:TANIA
Middle Name:
Last Name:TUCHAPSKY
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15A JASON ST APT 5
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:MA
Mailing Address - Zip Code:02476-6402
Mailing Address - Country:US
Mailing Address - Phone:617-529-7087
Mailing Address - Fax:
Practice Address - Street 1:205 BURLINGTON RD
Practice Address - Street 2:
Practice Address - City:BEDFORD
Practice Address - State:MA
Practice Address - Zip Code:01730-1406
Practice Address - Country:US
Practice Address - Phone:781-761-5089
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-12-27
Last Update Date:2020-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA1303287OtherMBHP
MA99618201OtherNETWORK HEALTH
MA0000023532OtherBMC
MA1004745OtherFALLON
MA042611055OtherTAX ID
MA1004745OtherNHP
MAM18633OtherBCBS