Individual
MRS. JULIANNE MACKINNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED, ED.S, BCBA
Contact information
Practice address
77 CALYPSO LN, MARSHFIELD, MA 02050-3601
(508) 847-5730
Mailing address
77 CALYPSO LANE, MARSHFIELD, MA 02050
(508) 847-5730
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BACB236895
MA
Other
Enumeration date
07/20/2016
Last updated
07/20/2016
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