Provider Demographics
NPI:1861157224
Name:TERHAAR, MAUREEN MARIE (EDD, BCBA, LABA)
Entity type:Individual
Prefix:
First Name:MAUREEN
Middle Name:MARIE
Last Name:TERHAAR
Suffix:
Gender:F
Credentials:EDD, BCBA, LABA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:293 TURNPIKE RD APT 122
Mailing Address - Street 2:
Mailing Address - City:WESTBOROUGH
Mailing Address - State:MA
Mailing Address - Zip Code:01581-2814
Mailing Address - Country:US
Mailing Address - Phone:508-523-6158
Mailing Address - Fax:
Practice Address - Street 1:12 MALLARD CIR
Practice Address - Street 2:
Practice Address - City:SHREWSBURY
Practice Address - State:MA
Practice Address - Zip Code:01545-8108
Practice Address - Country:US
Practice Address - Phone:508-901-9930
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-11-01
Last Update Date:2021-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA3675-MH-B1103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst