Individual
LARA THALIA BUTERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
55 TOZER RD, BEVERLY, MA 01915-5515
(857) 400-6486
Mailing address
42 GRANT ST, NEWTON, MA 02465-1509
(857) 400-6486
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
08/27/2024
Last updated
08/27/2024
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