Individual
MS. MICHELE D MAYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ED.S., BCBA
Contact information
Practice address
8 FORGE PARK, FRANKLIN, MA 02038-3157
(508) 298-1170
Mailing address
16 DUCARL DR, LINCOLN, RI 02865-1321
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-04-2080
RI
Other
Enumeration date
09/30/2010
Last updated
09/30/2010
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