Individual
MRS. STEPHANIE GAETA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA, LABA
Contact information
Practice address
119 DRUM HILL RD, # 124, CHELMSFORD, MA 01824-1505
(978) 710-6837
Mailing address
119 DRUM HILL RD # 124, CHELMSFORD, MA 01824-1505
(978) 710-6837
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1147
MA
Other
Enumeration date
07/20/2017
Last updated
03/17/2018
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