Individual
MRS. BETHANY WALSH NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED.
Contact information
Practice address
71 EUSTIS AVE, WAKEFIELD, MA 01880-1409
(617) 999-5124
(978) 777-8547
Mailing address
71 EUSTIS AVE, WAKEFIELD, MA 01880-1432
(617) 999-5124
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
3734
MA
Other
Enumeration date
03/31/2015
Last updated
03/11/2024
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