Individual
KAITLYN SIMONDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA, LABA, MS
Contact information
Practice address
193 OAK ST STE 1, NEWTON UPPER FALLS, MA 02464-1453
(617) 658-5611
Mailing address
1480 COMMONWEALTH AVE APT 4, BRIGHTON, MA 02135-4528
(207) 608-9647
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
3206-MH-B1
MA
Other
Enumeration date
09/21/2020
Last updated
09/23/2020
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