Black, Desdalin Cornelia

Black, Desdalin Cornelia is an individual health care provider with primary practice located at 3 E Main St Apt 2, Ayer MA 01432-1605. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Black, Desdalin Cornelia can be contacted via phone (508) 717-1983.

Contact Information

Primary practice address
3 E Main St Apt 2 Ayer MA 01432-1605
Phone: (508) 717-1983
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X

Profile Details

NPI number 1124368899
LBN Legal business name Black, Desdalin Cornelia
Credentials M.S.ED., BCBA
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 18th, 2013
Last updated Feb 18th, 2013 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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