Individual
MRS. TERESE P DANA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BC ABA
Contact information
Practice address
2069 VILLAGE RD, MADISON ELEMENTARY SCHOOL, MADISON, NH 03849
(603) 367-4642
(603) 367-8784
Mailing address
PO BOX 434, FRYEBURG, ME 04037
(207) 935-1092
(207) 935-1092
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11314501
AETNA
—
Enumeration date
03/07/2012
Last updated
11/25/2013
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