Katherine Anne Heacock
Behavior Technician in Worcester, MA. Individual provider (NPI-1).
NPI number1407529068
StatusActive
Last updated in NPPESJul 29, 2021
Details
- NPI
- 1407529068
- Entity type
- Individual (NPI-1)
- Name
- Katherine Anne Heacock
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 29, 2021
- Certification date
- Jul 29, 2021
- Last updated
- Jul 29, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
345a Greenwood StWorcester, MA 01607-1753
Phone 508-363-0200
Mailing address
345a Greenwood StWorcester, MA 01607-1753
Phone 508-363-0200
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