Individual
EMILY ROSE GAUDETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15 PADDOCK LN, DRACUT, MA 01826-4277
(978) 815-6514
Mailing address
15 PADDOCK LN, DRACUT, MA 01826-4277
(978) 815-6514
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
NONE
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NONE
NONE
—
Enumeration date
01/18/2023
Last updated
01/18/2023
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