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Individual

ALLISON BLOOM CULKIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
800 TECHNOLOGY CENTER DR STE 110, STOUGHTON, MA 02072-4721
(781) 290-3886
Mailing address
61 SACHEM ST, QUINCY, MA 02170-2447
(781) 426-6395

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
106S00000X
Behavior Technician

Other

Enumeration date
09/15/2020
Last updated
01/10/2022
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