Individual
KATELYN MOISAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA, LABA
Contact information
Practice address
295 DONALD LYNCH BLVD, MARLBOROUGH, MA 01752-4702
(508) 651-7500
Mailing address
295 DONALD LYNCH BLVD, MARLBOROUGH, MA 01752-4702
(508) 651-7500
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
05/12/2014
Last updated
12/09/2019
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