Individual
GREGORY ZARA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.ED, BCBA
Contact information
Practice address
1115 W CHESTNUT ST, BROCKTON, MA 02301-7501
(508) 580-4691
Mailing address
1115 W CHESTNUT ST, BROCKTON, MA 02301-7501
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-14-17849
MA
Other
Enumeration date
03/25/2015
Last updated
03/25/2015
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