Individual
MRS. AMANDA LEE CONNOLLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, BCBA
Contact information
Practice address
145 FAUNCE CORNER RD STE K, N DARTMOUTH, MA 02747-1263
(774) 206-1125
Mailing address
145 FAUNCE CORNER RD STE K, N DARTMOUTH, MA 02747-1263
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-11-8099
MA
Other
Enumeration date
11/11/2011
Last updated
11/11/2011
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