Individual
MISS BRANDY LEE ISABELLA ROWBOTHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
232 HIGH ST, NORTH BILLERICA, MA 01862-1202
(978) 955-1592
Mailing address
232 HIGH ST, NORTH BILLERICA, MA 01862-1202
(978) 955-1592
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
S89685520
MA
106S00000X
Behavior Technician
S89685520
MA
Other
Enumeration date
12/01/2018
Last updated
12/01/2018
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