Individual
JESSICA BUNNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
331 W 6TH ST, LOWELL, MA 01850-1857
(978) 656-8546
(978) 746-8916
Mailing address
48 ENGLEHUTT RD, MEDFORD, MA 02155-2542
(603) 568-8382
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-19-39195
MA
Other
Enumeration date
04/30/2015
Last updated
10/01/2020
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