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Individual
LYNN BRENNAN
Active
Individual
LYNN BRENNAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
128
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
128
LICENSED APPLIED BEHAVIOR ANALYST (LABA) - MASSACHUSETTS
MA
Enumeration date
06/28/2016
Last updated
06/28/2016
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