Individual
ATKA BOL CONSTANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
194 PLEASANT ST STE 2, CONCORD, NH 03301-2952
(603) 471-7791
(877) 754-5246
Mailing address
446 MICOL RD, PEMBROKE, NH 03275-3114
(603) 858-2350
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
12476404
NH
106S00000X
Behavior Technician
—
—
Other
Enumeration date
03/02/2020
Last updated
10/29/2024
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