Individual
SUSAN ELIZABETH GURRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ED.D., BCBA-D
Contact information
Practice address
106 JACKSON ST, CAMBRIDGE, MA 02140-1723
(617) 549-7004
Mailing address
106 JACKSON ST, CAMBRIDGE, MA 02140-1723
(617) 549-7004
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-09-5704
MA
Other
Enumeration date
08/30/2011
Last updated
08/30/2011
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