NPI 1003376922
Peter Tenaglia
Practice location
- Address
- 303 Wyman St, Waltham, MA 02451-1208
- Phone
- (800) 249-1266
- Mailing address
- 1301 E Orangewood Ave, Anaheim, CA 92805-6807
Registered specialties
Behavior Technician
Primary
Registry record
- NPI
- 1003376922
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 25 Mar 2019
- Record last updated
- 25 Mar 2019
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.