Individual
EMILY NICOLE BOUTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA, LABA
Contact information
Practice address
152 SYLVAN ST FL 1, DANVERS, MA 01923-3581
(800) 679-3609
Mailing address
535 8TH AVE FL 9, NEW YORK, NY 10018-2486
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
4193-MH-B1
MA
Other
Enumeration date
09/06/2022
Last updated
09/06/2022
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