Tatjana Micunovic, MS

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

LABA10001780 Issued in MA

Practice address

303 Wyman St Ste 300
Waltham, MA 02451-1255

Phone

(800) 249-1266

NPI assigned

Jan 21, 2019

Reactivated

Apr 17, 2019

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Tatjana Jovanovic Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1548028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771372800000",
    "number": "1831663079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2733 E 12TH ST STE C2",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112354672",
            "telephone_number": "800-249-1266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 WYMAN ST STE 300",
            "city": "WALTHAM",
            "state": "MA",
            "postal_code": "024511255",
            "telephone_number": "800-249-1266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICUNOVIC",
        "first_name": "TATJANA",
        "credential": "MS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-01-21",
        "last_updated": "2026-02-18",
        "certification_date": "2026-02-18",
        "deactivation_date": "2019-03-07",
        "reactivation_date": "2019-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": "MA",
            "license": "LABA10001780",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TATJANA",
            "last_name": "JOVANOVIC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sarah Meyer
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• Amanda Rose Michel, PT, DPT
• Guy-Smarth Michel
• Mary Mikes
• Mikhail Shulkin DDS PC
• Milestones Inc
• Milestones, Inc.
• Milestones, Inc.

• Behavior Analyst in Waltham, MA
• Providers in Waltham, MA by specialty
• Behavior Analyst in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.