Individual
MATTIE GOAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
39 BRIGHTON AVE STE 100, ALLSTON, MA 02134-2301
(617) 402-5444
Mailing address
38 BOYD ST, WATERTOWN, MA 02472-2502
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-22-62075
MA
Other
Enumeration date
05/02/2023
Last updated
05/02/2023
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