Most Relevant Information
Provider Data
| NPI Number: | 1003510702 |
| Provider Name: | MERANDA M HOULBERG |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 03/28/2023 |
| Last Updated: | 03/28/2023 |
Provider Practice Location
1111 ELM ST STE 34
WEST SPRINGFIELD
MA
010891540
Practice Location Phone/Fax
| Phone: | 4137340300 |
| Fax: |
Provider Mailing Location
1111 ELM ST STE 34
WEST SPRINGFIELD
MA
010891540
Provider Mailing Phone/Fax
| Phone: | 4137340300 |
| Fax: |