Individual
JILL MENGEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
331 MONTVALE AVE, 5TH FLOOR, WOBURN, MA 01801-4675
(781) 281-7601
(781) 364-6209
Mailing address
19019 VENTURA BLVD, TARZANA, CA 91356-3253
(818) 345-2345
(818) 758-8015
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-07-3336
MA
Other
Enumeration date
05/28/2014
Last updated
05/29/2014
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