Individual
ANNA FOOTIT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
345A GREENWOOD ST, WORCESTER, MA 01607-0160
(508) 363-0200
(508) 363-1213
Mailing address
345A GREENWOOD STREET, SUITE B, WORCESTER, MA 01607
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
146.0134298
VT
222Q00000X
Developmental Therapist
—
—
Other
Enumeration date
10/18/2018
Last updated
01/18/2023
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