Individual
DARLENE FOWLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
1040 WALTHAM STREET, EDINBURG CENTER, LEXINGTON, MA 02421-8033
(781) 761-5093
Mailing address
27 JACKSON ST, LOWELL, MA 01852-2137
(617) 592-2026
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-03-1332
MA
Other
Enumeration date
12/07/2012
Last updated
12/14/2016
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