Individual
ELIZABETH J DONELLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M, ED, BCBA LABA
Contact information
Practice address
100 CUMMINGS CENTER, SUITE 135C, BEVERLY, MA 01915
(978) 473-7300
(978) 969-0083
Mailing address
100 CUMMINGS CENTER, SUITE 135C, BEVERLY, MA 01915
(978) 473-7300
(978) 969-0083
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
3109
MA
Other
Enumeration date
11/04/2020
Last updated
11/04/2020
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