Michaela Mccormack

NPI #1336918168 in Dedham, Massachusetts

Provider Information

NPI Number: 1336918168
Entity Type: Individual
Name: Michaela Mccormack
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: Dec 20, 2023
Last Updated: Dec 20, 2023

Practice Location

Address: 95 EASTERN AVE STE 8
City: Dedham
State: Massachusetts
ZIP Code: 02026-4582
Phone: (617) 996-1210

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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