Individual
REGINA DEAVER-WHITTIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LABA
Contact information
Practice address
39 MAIN ST, LUNENBURG, MA 01462-1428
(978) 956-3200
Mailing address
PO BOX 453, ASHBURNHAM, MA 01430-0453
(978) 855-1603
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
651
MA
Other
Enumeration date
07/07/2016
Last updated
02/14/2024
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