Individual
AUDREY E CONCANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
234 COPELAND ST FL 4, QUINCY, MA 02169-4082
(617) 658-5611
Mailing address
109 OAK ST STE G20, NEWTON UPPER FALLS, MA 02464-1492
(617) 658-5611
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
04/14/2026
Last updated
04/14/2026
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