Individual
MISS CYNTHIA IRENE WALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
118 LONG POND RD, SUITE 205, PLYMOUTH, MA 02360-2662
(508) 732-0088
(508) 732-0078
Mailing address
19019 VENTURA BLVD, TARZANA, CA 91356-3253
(818) 345-2345
(818) 758-8015
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-11-8622
MA
Other
Enumeration date
10/07/2010
Last updated
09/30/2014
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