Individual
SHARON SOUTHARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
800 BOYLSTON ST UNIT 990281, BOSTON, MA 02199-1913
(617) 922-2370
(833) 271-4232
Mailing address
800 BOYLSTON ST UNIT 990281, BOSTON, MA 02199-1913
(617) 922-2370
(833) 271-4232
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-13-14519
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-13-14519
BCBA
MA
01
—
MH825
LABA
MA
Enumeration date
09/02/2014
Last updated
04/29/2025
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