Individual
NENA SO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
233 STEVENS ST, LOWELL, MA 01851-3023
(978) 421-7836
Mailing address
233 STEVENS ST, LOWELL, MA 01851-3023
(978) 421-7836
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
10/28/2025
Last updated
10/28/2025
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