Individual
SUSAN BARNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
800 CENTER ST, AUBURN, ME 04210-6404
(207) 782-2726
(207) 333-3501
Mailing address
800 CENTER ST, AUBURN, ME 04210-6404
(207) 782-2726
(207) 333-3501
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1232
BCBA
ME
Enumeration date
04/11/2012
Last updated
04/11/2012
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