Individual
LISA HANNAFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 CUMMINGS CTR STE 135H, BEVERLY, MA 01915-6127
(978) 927-0172
Mailing address
100 CUMMINGS CTR STE 135H, BEVERLY, MA 01915-6127
(978) 927-0172
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
222Q00000X
Developmental Therapist
—
—
Other
Enumeration date
08/22/2018
Last updated
05/26/2020
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