Individual
DEBRA HARSTAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS.ED, BCBA
Contact information
Practice address
76 SUMMER ST STE 139A, FITCHBURG, MA 01420-5783
(978) 514-3313
Mailing address
12 MARSHALL ST APT 3, WORCESTER, MA 01604-2869
(978) 514-3313
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
3530
MA
Other
Enumeration date
07/23/2021
Last updated
07/23/2021
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