Individual
EMILY MARGARET CORMACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED, BCBA, LABA
Contact information
Practice address
299 LINCOLN ST STE 201, WORCESTER, MA 01605-3646
(774) 206-1125
Mailing address
27 TERESA DR, HOLDEN, MA 01520-2000
(508) 341-4707
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
3391
MA
Other
Enumeration date
11/08/2017
Last updated
03/23/2026
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