Individual
JACQUELINE BAILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
186 WOOD AVE, HYDE PARK, MA 02136-3824
(617) 461-1094
Mailing address
186 WOOD AVE, HYDE PARK, MA 02136
(617) 461-1094
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
MA
Other
Enumeration date
04/12/2016
Last updated
04/12/2016
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