Individual
MISS MEREDITH RUGGIERO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
20 SHATTUCK RD, ANDOVER, MA 01810-2451
(978) 685-3000
Mailing address
20 SHATTUCK RD, ANDOVER, MA 01810-2451
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
0133001524
VA
103K00000X
Behavior Analyst
Primary
3107-MH-B1
MA
106S00000X
Behavior Technician
RBT-17-34438
VA
Other
Enumeration date
12/15/2017
Last updated
08/19/2024
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