Individual
KERRY MCCREA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
526 BOSTON POST RD, WAYLAND, MA 01778-1835
(508) 999-9999
Mailing address
526 BOSTON POST RD, WAYLAND, MA 01778-1835
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
18
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110026265
—
MA
Enumeration date
09/02/2011
Last updated
02/19/2025
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