Provider Demographics
NPI:1992204713
Name:FRANCEY, CAMILLE GILLOTTI (MS BCBA, LABA)
Entity Type:Individual
Prefix:
First Name:CAMILLE
Middle Name:GILLOTTI
Last Name:FRANCEY
Suffix:
Gender:F
Credentials:MS BCBA, LABA
Other - Prefix:
Other - First Name:CAMILLE
Other - Middle Name:ROSE
Other - Last Name:GILLOTTI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS BCBA, LABA
Mailing Address - Street 1:23 SAINT STEPHEN ST APT 2
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02115-4515
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:55 TOZER RD
Practice Address - Street 2:
Practice Address - City:BEVERLY
Practice Address - State:MA
Practice Address - Zip Code:01915-5515
Practice Address - Country:US
Practice Address - Phone:978-969-2894
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-02-07
Last Update Date:2018-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2031103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst