Individual
MIKAYLA KURTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., BCBA
Contact information
Practice address
128 MAIN ST STE 5, STURBRIDGE, MA 01566-1556
(413) 523-3456
Mailing address
930 MAIN ST, WILBRAHAM, MA 01095-2647
(413) 523-3456
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-25-78830
RI
Other
Enumeration date
01/16/2025
Last updated
01/16/2025
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