Individual
KEVIN VAN HORN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSED, BCBA
Contact information
Practice address
109 OAK ST, SUITE G-10, NEWTON, MA 02464-1492
(551) 497-0438
Mailing address
1722 COMMONWEALTH AVE, APT 5, BRIGHTON, MA 02135-5621
(551) 497-0438
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
03/19/2015
Last updated
03/19/2015
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