Individual
LISA MARIE ABBOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1565 MAIN ST, TEWKSBURY, MA 01876-2085
(877) 222-0399
Mailing address
1565 MAIN ST, TEWKSBURY, MA 01876-2085
(877) 222-0399
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
04/24/2023
Last updated
04/24/2023
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