Individual
MARINA SOROKINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
303 WYMAN ST, WALTHAM, MA 02451-1208
(800) 249-1266
Mailing address
4 GREENBRIAR DR APT 308, NORTH READING, MA 01864-3135
(617) 899-0101
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
09/18/2018
Last updated
07/25/2023
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