Individual
SALLY ANN BROOKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA. LABA
Contact information
Practice address
45 POND ST, NORWELL, MA 02061-1627
(508) 361-8585
Mailing address
45 POND ST, NORWELL, MA 02061-1627
(508) 361-8585
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
4001-MH-B1
MA
Other
Enumeration date
05/19/2022
Last updated
05/19/2022
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