Individual
MS. DEBRA DIANNE MARTIN MOFFITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED. BCBA
Contact information
Practice address
207 WOOD ST, LEXINGTON, MA 02421-6423
(857) 498-2680
Mailing address
207 WOOD ST, LEXINGTON, MA 02421-6423
(857) 498-2680
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1062907
MA
Other
Enumeration date
02/05/2009
Last updated
11/28/2012
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