Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MACKENZIE HOLLY POULOS, BCBA
Active Sole ProprietorBehavior Analyst · ESSEX, MA
Registration Details
- NPI Number
- 1508618125
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 5, 2024 (2.1074228237027 yrs)
- Last Updated
- Apr 5, 2024
- License
-
1-15-18929 (MA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
156 EASTERN AVEESSEX, MA, 019291328Browse MA providers · Browse ZIP 01929
- Phone
- 7745731473
- Primary Specialty
-
Behavior Analyst
103K00000X
- Additional Specialty
- Behavior Analyst
Other Behavior Analyst Providers in ESSEX, MA
| Name | Credential | NPI |
|---|---|---|
| DR. KATHLEEN A QUILL | BCBA-D | 1013544642 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.