Individual
AMBIKA MENON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5 CONSTITUTION WAY, WOBURN, MA 01801-1199
(888) 754-0398
Mailing address
14 LOGAN RD, NASHUA, NH 03063-2214
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-19-104007
NH
Other
Enumeration date
06/02/2020
Last updated
06/02/2020
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