Individual
MR. ERIC JAMES DENETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BCBA
Contact information
Practice address
171 PINE AVE, CLARKSBURG, MA 01247-4602
(413) 652-2383
Mailing address
171 PINE AVE, CLARKSBURG, MA 01247
(413) 652-2383
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-11-9326
MA
Other
Enumeration date
04/03/2012
Last updated
04/03/2012
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