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Individual

JUDITH CHRISTINE LEPPOLD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
BCBA

Contact information

Practice address
80 WASHINGTON ST BLDG P, NORWELL, MA 02061-1740
(781) 290-3886
Mailing address
PO BOX 778, CORNWALL, NY 12518-0778
(845) 380-2287

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
3070-MH-B1
MA

Other

Enumeration date
12/17/2020
Last updated
12/17/2020
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