Individual
CHARLES G KNUDSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
460 TOTTEN POND RD, WALTHAM, MA 02451-1991
(781) 895-3200
Mailing address
67 LINCOLN ST, MANCHESTER, MA 01944-1152
(412) 956-4332
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
12/14/2010
Last updated
12/14/2010
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