Individual
ELIZABETH MANCUSO ALBERTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, BCBA
Contact information
Practice address
236 GATES POND RD, BERLIN, MA 01503-1305
(978) 562-6348
Mailing address
236 GATES POND RD, BERLIN, MA 01503-1305
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-11-8322
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-11-8322
BEHAVIOR ANALYSIS CERTIFICATION BOARD
—
Enumeration date
01/09/2019
Last updated
01/09/2019
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