Individual
VANESSA MYETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S, BCBA, LABA
Contact information
Practice address
1018 MAIN ST, WORCESTER, MA 01603-2427
(774) 420-7161
Mailing address
275 MEDFORD ST APT 314, BOSTON, MA 02129-1990
(617) 645-6931
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
706
MA
Other
Enumeration date
10/25/2019
Last updated
10/25/2019
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