Individual
ALLYSON WENDY GOOSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, MAT
Contact information
Practice address
10 GILL ST, SUITE J, ABACS, WOBURN, MA 01801
(617) 505-6183
Mailing address
14 NOTRE DAME AVE UNIT 2, CAMBRIDGE, MA 02140-2506
(401) 787-3521
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/07/2017
Last updated
06/07/2017
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