Individual
MRS. ANDREA RAFFERTY HENDERSHOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
283 PINE ST, NORWELL, MA 02061-2612
(508) 441-1381
Mailing address
283 PINE ST, NORWELL, MA 02061-2612
(508) 441-1381
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1004
MA
Other
Enumeration date
08/28/2016
Last updated
08/28/2016
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