Individual
LAUREN CARLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
176 WORCESTER PROVIDENCE TPKE, SUTTON, MA 01590-1901
(774) 482-1110
Mailing address
176 WORCESTER PROVIDENCE TPKE, SUTTON, MA 01590-1901
(774) 482-1110
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-22-60701
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110026265E
—
MA
Enumeration date
05/31/2016
Last updated
06/04/2024
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