Individual
KERRI LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
800 TECHNOLOGY CENTER DR STE 110, STOUGHTON, MA 02072-4721
(781) 290-3886
Mailing address
39 MILL ST, WEYMOUTH, MA 02188-1918
(781) 534-4246
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
LABA10001338
MA
Other
Enumeration date
04/05/2025
Last updated
04/05/2025
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