Active NPIIndividual provider

Mrs. Tara Kervick, BCBA

Behavior Analyst in Bedford, Massachusetts

NPI Number1982137196
Practice location
205 Burlington RD, Bedford, MA 01730-1406
Fax
—
Last updated
December 17, 2021

Tara Kervick is a Behavior Analyst based in Bedford, MA. Tara Kervick practices in Bedford, MA and has the professional credentials of BCBA. The NPI Number for Tara Kervick is 1982137196 and holds a License No. 3467-MH-B1 (MA). The current practice location address for Tara Kervick is 205 Burlington RD, Bedford, MA 01730-1406 and can be reached out via phone at 781-862-3600.

Provider Profile Details

NPI Number
1982137196
Provider Name
Tara Kervick
Credential
BCBA
Provider Entity Type
Individual
Gender
Female
Address
205 Burlington RD, Bedford, MA 01730-1406
Phone Number
781-862-3600
Primary Taxonomy
Behavior Analyst · 103K00000X
Sole Proprietor
No
Provider Enumeration Date
April 5, 2017
Last Update Date
December 17, 2021
Certification Date
December 17, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
205 Burlington RD
Bedford, MA 01730-1406
Zip
01730-1406
Phone Number
781-862-3600
Bedford, MA 01730Get directions →

Provider Business Mailing Address Details

Address
227 Chelmsford St
Chelmsford, MA 01824-2305
City
Chelmsford
State
MA
Zip
01824-2305
Phone Number
978-732-7171

License Information

License State (1)
MA
Taxonomy (1)
Behavior Technician · 106S00000X
License Number (2)
3467-MH-B1
License State (2)
MA
Taxonomy (2)
Behavior Analyst · 103K00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mrs. Tara Kervick, BCBA?

The NPI number of Mrs. Tara Kervick, BCBA is 1982137196. It was assigned on April 5, 2017 and is currently active in the NPPES registry.

What is the specialty of Mrs. Tara Kervick, BCBA?

Mrs. Tara Kervick, BCBA is registered under the primary taxonomy Behavior Analyst (code 103K00000X), licensed in MA under license number 3467-MH-B1.

Where does Mrs. Tara Kervick, BCBA practice?

The practice location is 205 Burlington RD, Bedford, MA 01730-1406. The office can be reached at 781-862-3600 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1982137196 directly on the NPPES registry website.

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