Individual
SHANNON DOUCETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS BCBA LABA
Contact information
Practice address
123 GAS LIGHT DR, APT 9, SOUTH WEYMOUTH, MA 02190
(781) 258-6243
Mailing address
123 GAS LIGHT DR, SOUTH WEYMOUTH, MA 02190-2140
(781) 258-6243
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
LABA10000458
MA
Other
Enumeration date
10/25/2023
Last updated
10/25/2023
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