Individual
MRS. AMY BETH LEE-VIEIRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
19 HILL ST, FAIRHAVEN, MA 02719-5422
(774) 202-5447
Mailing address
19 HILL ST, FAIRHAVEN, MA 02719-5422
(774) 202-5447
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1031342
MA
Other
Enumeration date
03/14/2010
Last updated
03/14/2010
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