Individual
LAUREN ALYSSA BISTANY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BS
Contact information
Practice address
11 WINDING HOLLOW RD, HUDSON, NH 03051-5115
(603) 845-6578
Mailing address
11 WINDING HOLLOW RD, HUDSON, NH 03051-5115
(603) 845-6578
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
ME
Other
Enumeration date
05/01/2018
Last updated
05/01/2018
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