Individual
KATHERINE CUBBLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4 MALL CT, SAVANNAH, GA 31406-3642
(912) 429-8452
Mailing address
41 PACELLA PARK DR, RANDOLPH, MA 02368-1755
(781) 437-0791
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110026265E
—
MA
Enumeration date
12/22/2016
Last updated
09/25/2020
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