Individual provider · Type 1 NPI
Michele Lee Stack Sprague
Developmental Therapist · Billerica, MA
Practice location
25 Linnell Cir
Billerica, MA 01821-3928
Mailing address
1 Kenmar Dr
Billerica, MA 01821-4706
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Developmental Therapist Primary | 222Q00000X | None listed |
Developmental Therapist: A Developmental Therapist is a person qualified by completion of an approved program in Developmental Therapy and where applicable credentialed by the state and practicing within the scope of the credential, or credentialed by completion of education experiences as approved by the state and practicing within the scope of that credential or, where state credentialing does not exist, certified by the Board of the Deve…
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About NPI 1619859667
Michele Lee Stack Sprague's National Provider Identifier is 1619859667, issued on Jul 22, 2025. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Billerica, MA. The record was last updated on Jul 22, 2025.