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Individual

KRISTY HAWLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
BCBA LABA

Contact information

Practice address
278 MILL RD, CHELMSFORD, MA 01824-4106
(617) 812-9454
Mailing address
100 N PACIFIC COAST HWY STE 1400, EL SEGUNDO, CA 90245-5602
(310) 856-0800

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
103K00000X
Behavior Analyst
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0000023532
BMC
MA
01
042611055
TAX ID
MA
01
1004745
NHP
MA
01
1303287
MBHP
MA
01
99618201
NETWORK HEALTH
MA
01
M18633
BCBS
MA
Enumeration date
03/03/2017
Last updated
11/19/2024
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