Individual
MICAYLA OUELLETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
39 MAIN ST, LUNENBURG, MA 01462-1428
(978) 956-3200
Mailing address
39 MAIN ST, LUNENBURG, MA 01462-1428
(978) 956-3200
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
10000273
MA
222Q00000X
Developmental Therapist
—
—
Other
Enumeration date
08/01/2018
Last updated
02/26/2024
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