Provider Demographics
NPI:1659089456
Name:LAFLAMME, CHERYL (BCBA)
Entity Type:Individual
Prefix:
First Name:CHERYL
Middle Name:
Last Name:LAFLAMME
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:48 OLD WEBSTER RD
Mailing Address - Street 2:
Mailing Address - City:LEWISTON
Mailing Address - State:ME
Mailing Address - Zip Code:04240-1512
Mailing Address - Country:US
Mailing Address - Phone:207-212-8280
Mailing Address - Fax:
Practice Address - Street 1:48 OLD WEBSTER RD
Practice Address - Street 2:
Practice Address - City:LEWISTON
Practice Address - State:ME
Practice Address - Zip Code:04240-1512
Practice Address - Country:US
Practice Address - Phone:207-212-8280
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-11-10
Last Update Date:2022-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ME1-12-11729103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty