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Individual

AMANDA LUSSIER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
BCBA

Contact information

Practice address
1318 BEACON ST STE 18, BROOKLINE, MA 02446-3793
(617) 910-1414
Mailing address
12 EDGEWATER DR, BLACKSTONE, MA 01504-1913
(774) 272-5076

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary

Other

Enumeration date
01/01/2021
Last updated
01/01/2021
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