Individual
MAUREEN AURORA GIFFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
5 CONSTITUTION WAY, SUITE C, WOBURN, MA 01801
(888) 754-0398
Mailing address
111 LOCUST ST # 13, WOBURN, MA 01801-3865
(860) 682-3719
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
613454
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
613454
BACB
CT
Enumeration date
06/27/2022
Last updated
06/27/2022
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