Individual
DAHIANA FUENTES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
60 MERRIMACK ST, HAVERHILL, MA 01830-6207
(978) 373-1126
Mailing address
59 CROSS ST, LAWRENCE, MA 01841-3620
(978) 687-3471
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
S28199302
MA
Other
Enumeration date
10/22/2010
Last updated
10/22/2010
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