Individual
AMANDA NICOLE LUCEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
109 OAK ST STE G30, NEWTON UPPER FALLS, MA 02464-1492
(617) 658-5611
Mailing address
2B OLD KENDALL RD, TYNGSBORO, MA 01879-1023
(781) 661-8218
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
01/08/2020
Last updated
01/08/2020
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