Individual
STEFANIE SALOME
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
109 OAK ST STE G10, NEWTON, MA 02464-1492
(617) 467-4523
Mailing address
109 OAK ST STE G10, NEWTON, MA 02464-1492
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
12/10/2010
Last updated
05/08/2011
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