Individual
JAMIE ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA, LABA
Contact information
Practice address
7 ALLEN CT, NATICK, MA 01760-2801
(518) 844-1788
Mailing address
7 ALLEN CT, NATICK, MA 01760-2801
(518) 844-1788
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
4116-MH-B1
MA
Other
Enumeration date
08/23/2022
Last updated
08/23/2022
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