Individual
MICAELA BANEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
15 CONSTITUTION DR STE 1A, BEDFORD, NH 03110-6002
(877) 323-8668
(203) 547-6280
Mailing address
243 N REGENT ST, PORT CHESTER, NY 10573-2642
(617) 233-9907
(203) 547-6280
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
3760
MA
Other
Enumeration date
01/11/2022
Last updated
01/11/2022
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