Individual
KERRY A FARNUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED BCBA
Contact information
Practice address
71 ELENE ST, LOWELL, MA 01854-1047
(978) 502-0942
Mailing address
71 ELENE ST, LOWELL, MA 01854-1047
(978) 502-0942
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-09-5177
MA
Other
Enumeration date
10/25/2010
Last updated
10/25/2010
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