Individual
MS. JILLIAN NOSEL KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
70 JAMES ST, WORCESTER, MA 01603-1038
(774) 266-5806
Mailing address
70 JAMES ST, WORCESTER, MA 01603
(774) 266-8506
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
04/09/2012
Last updated
04/09/2012
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