Most Relevant Information
Provider Data
| NPI Number: | 1003270554 |
| Provider Name: | LISA BLANCHARD |
| Entity Type: | Individual |
| Taxonomy Code: | 103K00000X |
| Specialty: | Behavior Analyst |
| License Number: | 1-14-17318 |
Most Important Dates
| Enumeration Date: | 04/11/2016 |
| Last Updated: | 04/11/2016 |
Provider Practice Location
23 WEST ST
#3
ASHLAND
NH
032174219
Practice Location Phone/Fax
| Phone: | 6032362657 |
| Fax: |
Provider Mailing Location
PO BOX 1150
ASHLAND
NH
032171150
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |