Individual
HOLLY VASSAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., BCBA, LABA
Contact information
Practice address
109 OAK ST, NEWTON, MA 02464-1492
(603) 345-1142
Mailing address
159 WINSOR AVE, WATERTOWN, MA 02472-1482
(603) 345-1142
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
832
MA
Other
Enumeration date
03/01/2012
Last updated
08/29/2016
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