Individual
DIANE L LUDDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
70 BAYVIEW ST, YARMOUTH, ME 04096-6993
(207) 847-2273
Mailing address
45 JOHANSEN ST, PORTLAND, ME 04103-4914
(207) 749-3826
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-19-37170
ME
Other
Enumeration date
06/15/2020
Last updated
06/15/2020
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