Individual
NATASHA PONDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1111 ELM ST, WEST SPRINGFIELD, MA 01089-1782
(413) 734-0300
Mailing address
41 PACELLA PARK DR, RANDOLPH, MA 02368-1755
(781) 437-0791
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
2693
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110026265
—
GA
Enumeration date
05/18/2012
Last updated
02/14/2020
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