Individual
MRS. VANESSA S ELLIOTT O'LEARY LEWACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
749 E INDUSTRIAL PARK DR, MANCHESTER, NH 03109-5618
(866) 352-5010
Mailing address
21 CHAMBERLAIN RUN, HINGHAM, MA 02043-1921
(617) 827-9136
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
349357
MA
103K00000X
Behavior Analyst
Primary
LABA3414
MA
Other
Enumeration date
03/18/2015
Last updated
08/18/2023
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