Provider Demographics
NPI:1790665073
Name:SALES, TANIA MARIA
Entity type:Individual
Prefix:
First Name:TANIA
Middle Name:MARIA
Last Name:SALES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:209 W CENTRAL ST STE 305A
Mailing Address - Street 2:
Mailing Address - City:NATICK
Mailing Address - State:MA
Mailing Address - Zip Code:01760-3766
Mailing Address - Country:US
Mailing Address - Phone:508-250-1467
Mailing Address - Fax:
Practice Address - Street 1:209 W CENTRAL ST STE 305A
Practice Address - Street 2:
Practice Address - City:NATICK
Practice Address - State:MA
Practice Address - Zip Code:01760-3766
Practice Address - Country:US
Practice Address - Phone:508-250-1467
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-09-05
Last Update Date:2025-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLLMFC05-04-7035106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty