Individual
ELLEN F LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA, LABA
Contact information
Practice address
16 BRIDGE GATE, PLYMOUTH, MA 02360-6377
(508) 287-8692
(508) 591-7886
Mailing address
62 WARREN AVE, ROCKLAND, MA 02370-1116
(781) 878-2451
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
11/20/2020
Last updated
11/20/2020
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