Individual
NATALIE COSTELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS BCBA LABA
Contact information
Practice address
5 CONSTITUTION WAY STE C, WOBURN, MA 01801-1199
(518) 944-9855
Mailing address
5 CONSTITUTION WAY STE C, WOBURN, MA 01801-1199
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
06/20/2017
Last updated
02/11/2021
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