Kelly Gandolfo, M.S., BCBA

NPI #1457782245 in Ashland, Massachusetts

Provider Information

NPI Number: 1457782245
Entity Type: Individual
Name: Kelly Gandolfo, M.S., BCBA
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Analyst
Credential: M.S., BCBA
Enumeration Date: Dec 5, 2013
Last Updated: Dec 5, 2013

Practice Location

Address: 256 TRAILSIDE WAY
City: Ashland
State: Massachusetts
ZIP Code: 01721-2356
Phone: (508) 395-7598

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Analyst	103K00000X	Primary

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