Individual
KAITLYN MORESI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
301 EDGEWATER PL, WAKEFIELD, MA 01880-1293
(413) 652-4687
Mailing address
301 EDGEWATER PL, WAKEFIELD, MA 01880-1293
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
2741-MH-B1
MA
Other
Enumeration date
11/03/2017
Last updated
11/18/2019
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