Individual
MRS. SIOBHAN SUMMER RATLLIFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. BCBA, LABA
Contact information
Practice address
439 S UNION ST STE 116, LAWRENCE, MA 01843-2837
(800) 679-3609
Mailing address
439 S UNION ST STE 116, LAWRENCE, MA 01843-2837
(800) 679-3609
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
LABA10000142
MA
222Q00000X
Developmental Therapist
—
—
Other
Enumeration date
08/11/2015
Last updated
06/01/2023
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