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Individual

MARY TERESA BANIA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.S. ED, BCBA

Contact information

Practice address
41 TERRACE AVE, NEWTON, MA 02461-1426
(508) 873-5414
Mailing address
41 TERRACE AVE, NEWTON, MA 02461-1426

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-06-3158
MA

Other

Enumeration date
08/31/2011
Last updated
08/31/2011
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