Individual
REBECCA S JOSEPH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
231 RIVER ST UNIT 427, MATTAPAN, MA 02126-2798
(617) 935-4872
Mailing address
520 DUDLEY ST, ROXBURY, MA 02119-2769
(617) 445-6655
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
S56714503
DRIVER LICENSE
MA
Enumeration date
04/14/2022
Last updated
04/14/2022
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