Individual
REBEKAH ANNE SARGENT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
69 VINTON ST APT 2, PROVIDENCE, RI 02909-7004
(774) 265-0705
Mailing address
69 VINTON ST APT 2, PROVIDENCE, RI 02909-7004
(774) 265-0705
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
MA
Other
Enumeration date
01/14/2021
Last updated
01/14/2021
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