Individual
KINSLEY ELAINE WILLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, BCBA, LABA
Contact information
Practice address
461 RIVER RD, ANDOVER, MA 01810-4349
(978) 654-4301
Mailing address
461 RIVER RD, ANDOVER, MA 01810-4349
(978) 654-4301
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
2400
MA
Other
Enumeration date
07/15/2020
Last updated
07/15/2020
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