Individual
MR. JOHN J DEMANCHE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BCBA
Contact information
Practice address
371 RICE RD, WINCHENDON, MA 01475-2096
(978) 297-4301
Mailing address
371 RICE RD, WINCHENDON, MA 01475-2096
(978) 297-4301
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-05-2633
—
Other
Enumeration date
08/09/2010
Last updated
08/09/2010
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