Individual
EMILY IPPOLITO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
39 MAIN ST, LUNENBURG, MA 01462-1428
(978) 956-3266
Mailing address
103D RIDGEFIELD CIR, CLINTON, MA 01510-1431
(586) 291-4000
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-22-59494
MA
222Q00000X
Developmental Therapist
—
—
Other
Enumeration date
06/24/2015
Last updated
01/26/2024
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