Krista G Canon, BCBA

NPI #1023257292 in Randolph, Massachusetts

Provider Information

NPI Number: 1023257292
Entity Type: Individual
Name: Krista G Canon, BCBA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Analyst
Credential: BCBA
Enumeration Date: Feb 12, 2009
Last Updated: Feb 12, 2009

Practice Location

Address: 41 PACELLA PARK DR
City: Randolph
State: Massachusetts
ZIP Code: 02368-1755
Phone: (781) 437-1323

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Analyst	103K00000X	Primary

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