Individual
DR. KATHLEEN A QUILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA-D
Contact information
Practice address
3 ESSEX REACH RD, ESSEX, MA 01929-1448
(978) 768-9049
Mailing address
PO BOX 190, ESSEX, MA 01929-0004
(978) 768-9049
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
1109-MH-B1
MA
103K00000X
Behavior Analyst
Primary
1109-MH-B1
—
Other
Enumeration date
03/24/2020
Last updated
03/24/2020
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