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Individual

LARRY ONG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
BCBA

Contact information

Practice address
10 GILL ST, WOBURN, MA 01801-1721
(617) 505-6183
Mailing address
15 E SPRINGFIELD ST, UNIT 1, BOSTON, MA 02118-3364
(832) 358-4490

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-16-24436
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1-16-24436
BOARD CERTIFIED BEHAVIOR ANALYST
MA
Enumeration date
12/19/2016
Last updated
12/19/2016
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