Provider Demographics
NPI:1922254382
Name:TALBAZ, INC
Entity Type:Organization
Organization Name:TALBAZ, INC
Other - Org Name:IN-TUNE DEVELOPMENTAL THERAPIES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:TAL
Authorized Official - Middle Name:C
Authorized Official - Last Name:BAZ
Authorized Official - Suffix:
Authorized Official - Credentials:OT
Authorized Official - Phone:617-669-7787
Mailing Address - Street 1:218 HOLLAND ST
Mailing Address - Street 2:
Mailing Address - City:SOMERVILLE
Mailing Address - State:MA
Mailing Address - Zip Code:02144-2432
Mailing Address - Country:US
Mailing Address - Phone:617-764-1997
Mailing Address - Fax:
Practice Address - Street 1:2326 MASSACHUSETTS AVE
Practice Address - Street 2:
Practice Address - City:CAMBRIDGE
Practice Address - State:MA
Practice Address - Zip Code:02140-1813
Practice Address - Country:US
Practice Address - Phone:617-229-5591
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-15
Last Update Date:2018-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA8805225XP0200X
MA9413225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatricsGroup - Multi-Specialty