Individual
GABRIELA LAURA SARSHAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
75 N MAIN ST # 628, RANDOLPH, MA 02368-4605
(818) 241-6780
Mailing address
220 KELTON ST APT 16, BOSTON, MA 02134-4375
(617) 586-6642
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
05/28/2021
Last updated
05/28/2021
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