Individual
LYDIA GAUQUIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., BCBA
Contact information
Practice address
160 WINDSOR AVE, SWAMPSCOTT, MA 01907-1048
(978) 317-8378
Mailing address
160 WINDSOR AVE, SWAMPSCOTT, MA 01907-1048
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
000000187
MA
103K00000X
Behavior Analyst
11313868
CA
Other
Enumeration date
07/10/2013
Last updated
03/16/2017
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