Individual
ELISE FALLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
300 E MAIN ST STE 200, MILFORD, MA 01757-2806
(508) 487-0207
Mailing address
300 E MAIN ST STE 200, MILFORD, MA 01757-2806
(508) 487-0207
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
2450
MA
222Q00000X
Developmental Therapist
—
—
Other
Enumeration date
08/14/2014
Last updated
02/09/2023
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