Individual
ELIZABETH TICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS BCBA LABA
Contact information
Practice address
20 ROCHE BROTHERS WAY STE 6-381, NORTH EASTON, MA 02356-1030
(855) 832-6727
(772) 675-9100
Mailing address
656 MAYFLOWER ST, DUXBURY, MA 02332-3617
(973) 768-4356
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-13-14729
MA
103K00000X
Behavior Analyst
543
MA
Other
Enumeration date
10/22/2015
Last updated
10/21/2024
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