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Individual

BRIANNA FEDOLFI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
83 PINE ST, SUITE 102, PEABODY, MA 01960-3646
(978) 717-5062
Mailing address
83 PINE ST, SUITE 102, PEABODY, MA 01960-3646

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-15-20676

Other

Enumeration date
01/25/2016
Last updated
08/10/2016
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