Individual
CHRISTOPHER MAYNARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
B.S.
Contact information
Practice address
2 GERMAIN ST, WORCESTER, MA 01602-2105
(508) 277-1460
Mailing address
41 CLIFTON ST, WORCESTER, MA 01610-1378
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
103K00000X
Behavior Analyst
—
—
Other
Enumeration date
04/27/2012
Last updated
12/04/2013
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