Individual
KATHERINE IACOVIELLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
B.C.B.A.
Contact information
Practice address
51 LILAH LN, READING, MA 01867-1062
(617) 947-3328
Mailing address
51 LILAH LN, READING, MA 01867-1062
(617) 947-3328
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
986
MA
Other
Enumeration date
07/12/2016
Last updated
07/12/2016
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