Individual
MISS NICOLE LYNNE DOUTRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, BCBA, LABA
Contact information
Practice address
15 SOUTH ST, SUITE B, HUDSON, MA 01749-2205
(508) 298-1640
Mailing address
33 PERRY AVE, ATTLEBORO, MA 02703-2417
(508) 455-6200
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-22-59363
MA
252Y00000X
Early Intervention Provider Agency
—
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Other
Enumeration date
05/30/2012
Last updated
08/25/2022
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