Individual
MAKEITA CLAUDIA LAURENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
179 MILTON AVE, DORCHESTER, MA 02124-4519
(617) 314-5365
Mailing address
179 MILTON AVE, BOSTON, MA 02124-4519
(518) 330-9394
(508) 634-6984
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
MA
222Q00000X
Developmental Therapist
—
—
Other
Enumeration date
08/29/2011
Last updated
08/08/2023
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