Provider Demographics
NPI:1750191458
Name:VELICHETI, TANMAI (BCBA)
Entity type:Individual
Prefix:
First Name:TANMAI
Middle Name:
Last Name:VELICHETI
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 1:85 GERSHOM AVE APT 7
Mailing Address - Street 2:
Mailing Address - City:LOWELL
Mailing Address - State:MA
Mailing Address - Zip Code:01854-2459
Mailing Address - Country:US
Mailing Address - Phone:978-606-5400
Mailing Address - Fax:
Practice Address - Street 1:85 GERSHOM AVE APT 7
Practice Address - Street 2:
Practice Address - City:LOWELL
Practice Address - State:MA
Practice Address - Zip Code:01854-2459
Practice Address - Country:US
Practice Address - Phone:978-606-5400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-13
Last Update Date:2025-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst