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Individual

MISS KIERSTIN KNIGHTLY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
90 CARANDO DR, SPRINGFIELD, MA 01104-4205
(143) 658-4478
Mailing address
PO BOX 516, HATFIELD, MA 01038-0516
(413) 658-4478

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
2786
MA

Other

Enumeration date
12/17/2019
Last updated
12/17/2019
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