Individual
KATHLEEN MORAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
9 MELLO PKWY, DANVERS, MA 01923-2627
(617) 759-9645
Mailing address
9 MELLO PKWY, DANVERS, MA 01923-2627
(617) 759-9645
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
3280-MH-B1
MA
Other
Enumeration date
04/05/2023
Last updated
04/05/2023
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