Individual
BRITTNAY ANITRA GORHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BS
Contact information
Practice address
321 FORTUNE BLVD BEACON ABA SERVICES, MILFORD, MA 01757
(508) 478-0207
(508) 634-6984
Mailing address
10 ERICK RD APT 10, MANSFIELD, MA 02048-3070
(508) 801-3926
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
S49824961
MA
Other
Enumeration date
10/12/2011
Last updated
09/04/2012
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