Individual
MICHELLE CHARLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
45 SOCKANOSSET CROSS RD STE 100, CRANSTON, RI 02920-5529
(978) 737-3760
(317) 815-3861
Mailing address
15 HILLCREST RD, WRENTHAM, MA 02093-1046
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
10/25/2017
Last updated
04/24/2019
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