Individual
KEVIN JOHN LE SAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BCBA
Contact information
Practice address
155 MAIN DUNSTABLE RD STE 150, NASHUA, NH 03060-3640
(844) 902-4222
Mailing address
155 MAIN DUNSTABLE RD STE 150, NASHUA, NH 03060-3640
(603) 417-5937
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-22-58356
NH
Other
Enumeration date
05/20/2022
Last updated
04/14/2023
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