Individual
DANIELLE M WIEGAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., BCBA, LABA
Contact information
Practice address
235 GEORGIA AVE STE 110, PROVIDENCE, RI 02905-4516
(855) 918-4519
Mailing address
542 AMHERST ST STE B, NASHUA, NH 03063-1016
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1776
MA
103K00000X
Behavior Analyst
—
—
Other
Enumeration date
04/23/2012
Last updated
04/16/2025
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