Individual
LAUREN SAMANTHA BASILE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
176 STANDISH RD, WATERTOWN, MA 02472-1240
(339) 222-4259
Mailing address
225 CEDAR HILL ST, MARLBOROUGH, MA 01752-5900
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
10/17/2019
Last updated
10/17/2019
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