Individual
SPENCER YACINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
205 SCHOOL ST, GARDNER, MA 01440-2781
(978) 488-8888
Mailing address
25 HOUGHTON CT, LEOMINSTER, MA 01453-5505
(207) 513-2891
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
2499
MA
Other
Enumeration date
02/14/2019
Last updated
04/10/2023
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