Individual
COURTNEY LICATA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA, MS
Contact information
Practice address
15 PROSPECT ST, NASHUA, NH 03060-3923
(603) 889-6147
Mailing address
100 W PEARL ST, NASHUA, NH 03060-3343
(603) 889-6147
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
103K00000X
Behavior Analyst
1-20-44574
—
Other
Enumeration date
01/18/2021
Last updated
08/08/2022
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