Individual
MERRILL C KOONTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
321 BILLERICA RD, #4100, CHELMSFORD, MA 01824
(888) 896-5227
(878) 616-7863
Mailing address
321 BILLERICA RD, #4100, CHELMSFORD, MA 01824
(888) 896-5227
(878) 616-7863
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-20-45691
NH
Other
Enumeration date
12/18/2020
Last updated
10/03/2022
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