Individual
DARYLE JOEL ROBERTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RBT
Contact information
Practice address
560 BOSTON TPKE, SHREWSBURY, MA 01545-5970
(508) 443-0018
(508) 519-6436
Mailing address
10 WHEELER AVE, SHREWSBURY, MA 01545-5108
(774) 570-0431
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-18-66151
MA
Other
Enumeration date
10/29/2019
Last updated
10/29/2019
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