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Deactivated NPI 1831663079 Deactivated / Inactive NPI Female Practitioner

Tatjana Micunovic , MS

Behavior Analyst • Waltham, MA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Tatjana Micunovic has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date January 21, 2019
NPI Deactivation Date March 07, 2019
Total Practice Duration ~1 Years of Practice (2019 – 2019)

Professional Overview & Biography Verified Profile Summary

Tatjana Micunovic, MS was a registered Behavior Analyst practicing in Waltham, MA. Throughout an active medical career spanning 1 years, Tatjana Micunovic provided care at the practice location at 303 WYMAN ST STE 300 until profile deactivation on 2019-03-07.

Practice Location & Contact Primary Location

Practice Address

303 Wyman St Ste 300

Waltham, MA 024511255

Telephone 8002491266
Associated Practice Facility / Clinic
🏢 Home Qare Facility NPI 1821339714

Specialty Benchmarks & Practice Insights

Comparative analytics for Behavior Analyst in Waltham, MA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 11.0 Yrs
State Avg: 7.3 Yrs
Regional Practice Density
53 Specialists

Practicing in Waltham, MA (4758 Statewide)

Telehealth Adoption Rate
1.9% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2026-02-18
Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

State License MA LABA10001780

A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Karen Neal , MA, BCBA

Behavior Analyst

NPI 1003154048

Master of Arts, Board Certified Behavior Analyst

Victoria Garcia

Behavior Technician

NPI 1003371733
Krystal Vincent

Behavior Technician

NPI 1003372061
Marlen Monzon

Behavior Technician

NPI 1003372087
Christopher Renfro

Behavior Technician

NPI 1003372152
Jocelyne Godina

Behavior Technician

NPI 1003373796

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

18 Historical Events
📍
Updated Practice Location February 18, 2026

Registered at 303 WYMAN ST STE 300, WALTHAM, MA 024511255 (Tel: 8002491266)

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Updated Business Mailing Address February 18, 2026

Registered at 2733 E 12TH ST STE C2, BROOKLYN, NY 112354672 (Tel: 8002491266)

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Provider Name / Credentials Updated February 18, 2026

Recorded as TATJANA MICUNOVIC, MS

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Updated Practice Location October 27, 2025

Registered at 30 MILL ST UNIT 211, ARLINGTON, MA 024764767 (Tel: 5083698049)

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Updated Business Mailing Address October 27, 2025

Registered at 30 MILL ST UNIT 211, ARLINGTON, MA 024764767 (Tel: 5083698049)

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Medical Taxonomy / Specialty Registered (Primary Specialty) October 27, 2025

Behavior Analyst (License #LABA10001780 in MA)

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Updated Practice Location February 10, 2020

Registered at 1301 E ORANGEWOOD AVE, ANAHEIM, CA 928056807 (Tel: 8002491266)

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Updated Practice Location April 17, 2019

Registered at 303 WYMAN ST, WALTHAM, MA 02451 (Tel: 8002491266)

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Updated Business Mailing Address April 17, 2019

Registered at 1301 E ORANGEWOOD AVE, ANAHEIM, CA 928056807 (Tel: 8002491266)

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Provider Name / Credentials Updated April 17, 2019

Recorded as TATJANA MICUNOVIC

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Medical Taxonomy / Specialty Registered (Primary Specialty) April 17, 2019

Behavior Technician

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NPI Profile Deactivated March 07, 2019

Record deactivated on March 07, 2019

NPI Profile Active January 21, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location January 21, 2019

Registered at 30 MILL ST UNIT 211, ARLINGTON, MA 024764767 (Tel: 5083698049)

📍
Updated Business Mailing Address January 21, 2019

Registered at 30 MILL ST UNIT 211, ARLINGTON, MA 024764767 (Tel: 5083698049)

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Provider Name / Credentials Updated January 21, 2019

Recorded as TATJANA MICUNOVIC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 21, 2019

Behavior Technician

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Initial NPI Registration & Enumeration January 21, 2019

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1831663079
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 21, 2019
Last Update: February 18, 2026
Deactivation Date: March 07, 2019
Sole Proprietor: Yes

Mailing Address

2733 E 12th St Ste C2

Brooklyn, NY 112354672

Phone: 8002491266

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.