Individual
KELLI A STANTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA, LABA
Contact information
Practice address
78 WILLOW ST, WESTWOOD, MA 02090-3716
(617) 957-4369
Mailing address
78 WILLOW ST, WESTWOOD, MA 02090-3716
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
2213-MH-B1
MA
106S00000X
Behavior Technician
—
—
Other
Enumeration date
05/22/2017
Last updated
05/06/2022
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