Individual
AMY GAVIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
116 HELEN DR, HANSON, MA 02341-1207
(617) 653-5811
Mailing address
116 HELEN DR, HANSON, MA 02341-1207
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-09-6377
MA
Other
Enumeration date
11/17/2010
Last updated
05/17/2012
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