Individual
ELAINE KAKAMBOURAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
607 NORTH AVE DOOR 11 2ND FLOOR, WAKEFIELD, MA 01880
(866) 926-4345
(781) 557-5012
Mailing address
607 NORTH AVE DOOR 11 2ND FLOOR, WAKEFIELD, MA 01880
(866) 926-4345
(781) 557-5012
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
769
MA
Other
Enumeration date
06/25/2018
Last updated
06/25/2018
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