Individual
HOPE ELIZABETH HIGGINBOTHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
90 HAWES WAY, STOUGHTON, MA 02072-1163
(781) 573-8128
Mailing address
21600 OXNARD ST STE 1800, WOODLAND HILLS, CA 91367-7807
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
S19519226
MA
106S00000X
Behavior Technician
Primary
S19519226
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
S19519226
LICENSE
MA
Enumeration date
05/01/2019
Last updated
05/01/2019
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