Individual
KATHRYN ABBIE WALLACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, BCBA, LABA
Contact information
Practice address
33 PERRY AVE, ATTLEBORO, MA 02703-2417
(571) 201-5237
Mailing address
33 PERRY AVE, ATTLEBORO, MA 02703-2417
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
3448
MA
Other
Enumeration date
03/16/2021
Last updated
01/05/2022
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