Individual
JUSTIN LEBOEUF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BCBA
Contact information
Practice address
15 GROTON ST, PEPPERELL, MA 01463-1519
(978) 732-7171
Mailing address
21 GREENLEAF ST APT 1, MALDEN, MA 02148-2514
(978) 888-4059
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
3248-MH-B1
MA
Other
Enumeration date
10/14/2020
Last updated
06/10/2021
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