Individual
KATIE GENEREUX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4 BARLOWS LANDING RD STE 13, POCASSET, MA 02559-1984
(508) 563-5767
(508) 563-5774
Mailing address
275 LAKE SHORE DR, EAST FALMOUTH, MA 02536-2701
(401) 374-9407
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
01/06/2013
Last updated
01/06/2013
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