Individual
MS. SANDRA M BEATON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., BCBA, LABA
Contact information
Practice address
78 QUEENS BROOK RD, PEMBROKE, MA 02359-3127
(617) 688-4074
(617) 688-4074
Mailing address
78 QUEENS BROOK RD, PEMBROKE, MA 02359-3127
(617) 688-4074
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
683
MA
Other
Enumeration date
12/28/2017
Last updated
12/28/2017
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