Individual
KIERSTEN COSGROVE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1 WHITNEY RD, BERLIN, MA 01503-1653
(855) 222-7980
Mailing address
1 WHITNEY RD, BERLIN, MA 01503-1653
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
12/19/2019
Last updated
12/19/2019
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