MISS Lisa Anne Doran

NPI #1508502089 in Nantucket, Massachusetts

Provider Information

NPI Number: 1508502089
Entity Type: Individual
Name: MISS Lisa Anne Doran
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: May 9, 2022
Last Updated: May 9, 2022

Practice Location

Address: 20 VESPER LN
City: Nantucket
State: Massachusetts
ZIP Code: 02554-4394
Phone: (508) 228-2689

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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