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Individual

LEE A MCINTYRE DAOULAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
116 HELEN DR, HANSON, MA 02341-1207
(617) 818-4923
Mailing address
116 HELEN DR, HANSON, MA 02341-1207
(781) 924-1408

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
2973
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1-19-34445
BCBA
MA
Enumeration date
02/28/2020
Last updated
02/28/2020
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