Individual
EMILY SHEPARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
220 CENTRAL ST APT 8, STONEHAM, MA 02180-4118
(573) 300-6033
Mailing address
5 CONSTITUTION WAY STE C, WOBURN, MA 01801-1199
(888) 754-0398
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
20-144163
MA
Other
Enumeration date
01/24/2021
Last updated
01/24/2021
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