Individual
KAREN COSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
15 SAUNDERS WAY, SUITE900, WESTBROOK, ME 04092-4833
(207) 878-9663
Mailing address
15 SAUNDERS WAY, SUITE900, WESTBROOK, ME 04092-4833
(207) 878-9663
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-17-25004
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1982847075
—
ME
Enumeration date
04/03/2017
Last updated
04/03/2017
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