Individual
KATIE JO HODGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
278 MILL RD, CHELMSFORD, MA 01824-4106
(617) 812-9454
Mailing address
18726 S WESTERN AVE, GARDENA, CA 90248-3813
(310) 856-0800
(855) 568-2494
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-22-63441
MA
Other
Enumeration date
08/22/2023
Last updated
08/22/2023
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