Individual
MICHELLE BOUCHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED. BCBA
Contact information
Practice address
461 RIVER RD, ANDOVER, MA 01810-4213
(978) 654-4300
Mailing address
8 WORTHLEY RD, DERRY, NH 03038-5119
(978) 995-5428
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
01/03/2017
Last updated
01/03/2017
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