Individual
MR. SAMUEL HAUSLAIB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, BCBA, LABA
Contact information
Practice address
109 OAK ST STE G30, NEWTON, MA 02464-1492
(617) 658-5611
Mailing address
673 TREMONT ST APT 8, BOSTON, MA 02118-1250
(203) 522-6309
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-19-37636
CT
Other
Enumeration date
02/01/2021
Last updated
02/01/2021
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