Individual
EMILY MAE MCGILLICUDDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Contact information
Practice address
444 MYRTLE ST, NEW BEDFORD, MA 02746-1682
(508) 993-1991
Mailing address
444 MYRTLE ST, NEW BEDFORD, MA 02746-1682
(508) 993-1991
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
04/17/2025
Last updated
04/17/2025
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