Individual
MICHELLE A ETCHELLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
401 CYPRESS ST, MANCHESTER, NH 03103
(603) 668-4111
(603) 628-7757
Mailing address
2 WALL ST STE 300, MANCHESTER, NH 03101-1518
(603) 668-4111
(603) 628-7757
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
174400000X
Specialist
—
—
Other
Enumeration date
01/30/2019
Last updated
03/24/2021
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