Individual
KELLY ANN JAMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, BCBA, LABA
Contact information
Practice address
200 MANNING ST APT 11A, HUDSON, MA 01749-1032
(774) 218-6232
Mailing address
200 MANNING ST APT 11A, HUDSON, MA 01749-1032
(774) 218-6232
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
2606-MH-B1
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-18-34166
BEHAVIOR ANALYST CERTIFICATION BOARD
—
01
—
2606-MH-B1
COMMONWEALTH OF MASSACHUSETTS
MA
Enumeration date
05/30/2019
Last updated
05/30/2019
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