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Individual

MRS. MARIA E CAPUANO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
BCBA, LABA

Contact information

Practice address
54 PUMPKIN LN, CHARLTON, MA 01507-5216
(774) 287-3705
(774) 214-0015
Mailing address
54 PUMPKIN LN, CHARLTON, MA 01507-5216
(774) 287-3705

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-17-26693
MA
103K00000X
Behavior Analyst
1838
MA
103K00000X
Behavior Analyst

Other

Enumeration date
04/14/2010
Last updated
08/11/2021
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