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Contact Information

ELIZABETH P WALL, BCBA
660 PINE ST
MANCHESTER, NH03104-3101
 Phone: 978-339-3256
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Behavior Analyst

103K00000X
 

Developmental Therapist

222Q00000X
Indicates primary specialty

NPI Profile & details for ELIZABETH P WALL · (Female)

NPI Number 1760752125
Status Active
Credentials BCBA (Board Certified Behavior Analyst)
Entity Individual
Enumeration date 01/03/2012
Last updated 03/08/2017 - About 9 years ago
Sole proprietor 1 No
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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