Individual
MRS. MEGHAN PATRICE FENNESSY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED, LABA, BCBA
Contact information
Practice address
1290 WASHINGTON ST, WEYMOUTH, MA 02189-2317
(617) 861-1763
Mailing address
1290 WASHINGTON ST, WEYMOUTH, MA 02189-2317
(617) 861-1763
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1084005
MA
103K00000X
Behavior Analyst
437
MA
Other
Enumeration date
02/26/2016
Last updated
02/26/2016
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