Individual
KATHERINE ANNE SORENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA, LABA
Contact information
Practice address
109 OAK ST STE G20, NEWTON, MA 02464-1492
(617) 658-5611
Mailing address
109 OAK ST STE G20, NEWTON, MA 02464-1492
(617) 658-5611
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-20-42632
MA
103K00000X
Behavior Analyst
3155
MA
Other
Enumeration date
08/31/2021
Last updated
08/31/2021
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