Individual
KASSIDY BUMFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
107 AUDUBON RD BLDG 1, WAKEFIELD, MA 01880-1266
(617) 284-4985
Mailing address
107 AUDUBON RD BLDG 1, WAKEFIELD, MA 01880-1266
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
06/08/2017
Last updated
06/04/2026
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