Individual
CAROL BALBUENA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.C
Contact information
Practice address
60 HIGH RIDGE RD # 2, WORCESTER, MA 01602-1464
(781) 204-9294
Mailing address
60 HIGH RIDGE RD # 2, WORCESTER, MA 01602-1464
(781) 204-9294
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
09/06/2012
Last updated
04/23/2013
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