Individual
HILARY GOODING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED, BCBA, LABA
Contact information
Practice address
639 GRANITE ST STE 230, BRAINTREE, MA 02184-5366
(617) 505-6183
Mailing address
639 GRANITE ST STE 230, BRAINTREE, MA 02184-5366
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1627
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-17-25527
BCBA
—
01
—
1627
LABA
MA
Enumeration date
05/23/2017
Last updated
05/23/2017
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