Individual
ALLYSON RENNELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S. BCBA
Contact information
Practice address
342 EAGLE STREET, NORTH ADAMS, MA 01247
(413) 652-7893
Mailing address
4 ISLINGTON XING, HAVERHILL, MA 01835-1308
(413) 652-7893
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-19-35508
MA
2355S0801X
Speech-Language Assistant
836
MA
Other
Enumeration date
06/26/2014
Last updated
09/29/2020
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