Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103K00000X | Behavior Analyst |
NPI | 1003350703 |
---|---|
Provider Name | Lauren Williams |
First Address | Rochester, MA 02770-1204 |
Second Address | Rochester, MA 02770-4024 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/12/2016 |
Last Update Date | 22/10/2021 |