Individual
EDA Y LU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., BCBA, LABA
Contact information
Practice address
85 CHAPEL ST, NEWTON, MA 02458
(617) 923-7575
Mailing address
25 MISSION PARK DR APT 305, BOSTON, MA 02115-6210
(617) 682-6501
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
3567-MH-B1
MA
172V00000X
Community Health Worker
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Other
Enumeration date
07/27/2018
Last updated
06/14/2021
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