Individual
BARBARA O'MALLEY CANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D., BCBA
Contact information
Practice address
461 RIVER RD, ANDOVER, MA 01810-4213
(781) 223-1198
Mailing address
1980 MAIN ST, CONCORD, MA 01742-3804
(978) 371-0093
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-04-1955
MI
103T00000X
Psychologist
—
—
Other
Enumeration date
06/07/2012
Last updated
06/07/2012
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