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Individual

EVAN LEE MCGINNESS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RBT

Contact information

Practice address
8 ESSEX CENTER DR, PEABODY, MA 01960-2959
(977) 394-1333
Mailing address
12 COLLEGE CIR, ANDOVER, MA 01810-5031
(978) 587-6782

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-24-375488
MA

Other

Enumeration date
09/17/2024
Last updated
09/17/2024
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