Individual
ADAM MY TRAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BT
Contact information
Practice address
3 TIFFANY LN, METHUEN, MA 01844-1653
(978) 873-6414
Mailing address
3 TIFFANY LN, METHUEN, MA 01844-1653
(978) 873-6414
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
MA
Other
Enumeration date
11/17/2020
Last updated
11/17/2020
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