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Individual

CATHERINE ANNE RUSSO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.ED, BCBA

Contact information

Practice address
11 BIGELOW ST, APARTMENT #1, BRIGHTON, MA 02135-1622
(617) 694-6403
Mailing address
11 BIGELOW ST, APARTMENT #1, BRIGHTON, MA 02135-1622
(617) 694-6403

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary

Other

Enumeration date
04/13/2017
Last updated
04/21/2017
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