Individual
LAUREL CIAVARRI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, BCBA
Contact information
Practice address
65 NEWBURY ST, DANVERS, MA 01923-1040
(978) 750-6828
Mailing address
65 NEWBURY ST, DANVERS, MA 01923-1040
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
103K00000X
Behavior Analyst
Primary
1041494
—
Other
Enumeration date
08/23/2010
Last updated
08/23/2010
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