Individual
MRS. JESSY LICHTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
68 NEWTON ST, MARLBOROUGH, MA 01752-2811
(508) 308-2255
Mailing address
68 NEWTON ST, MARLBOROUGH, MA 01752-2811
(508) 308-2255
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-09-5149
MA
Other
Enumeration date
09/25/2010
Last updated
09/25/2010
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