MRS. Lisa Marie Davide, BEHAVIOR THERAPIST
NPI #1912426800 in Malden, Massachusetts
Provider Information
- NPI Number
- 1912426800
- Entity Type
- Individual
- Name
- MRS. Lisa Marie Davide, BEHAVIOR THERAPIST
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Behavior Technician
- Credential
- BEHAVIOR THERAPIST
- Enumeration Date
- Sep 12, 2017
- Last Updated
- Jun 16, 2018
Practice Location
- Address
- 564 PLEASANT ST
- City
- Malden
- State
- Massachusetts
- ZIP Code
- 02148-3550
- Phone
- (617) 791-4137
Specialties & Taxonomy Codes
| Specialty |
|---|
| Behavior Technician |
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