Individual
NICOLE LEMASTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
75 WYMAN ST APT 5, WABAN, MA 02468-1528
(765) 661-7379
Mailing address
75 WYMAN ST APT 5, WABAN, MA 02468-1528
(765) 661-7379
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-15-19045
MA
Other
Enumeration date
07/29/2015
Last updated
07/29/2015
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