Individual
MRS. LESLEY D. SCULLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MED, BCBA
Contact information
Practice address
1 YALE RD, ANDOVER, MA 01810-2529
(978) 887-0783
Mailing address
1 YALE RD, ANDOVER, MA 01810-2529
(978) 887-0783
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-10-7806
MA
Other
Enumeration date
06/18/2012
Last updated
06/18/2012
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