Individual
AMY IVANOSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
109 OAK ST STE G30, NEWTON, MA 02464-1492
(781) 619-1516
(877) 484-7961
Mailing address
109 OAK ST STE G30, NEWTON, MA 02464-1492
(781) 619-1516
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
07/22/2014
Last updated
10/25/2023
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