Individual
SARA BASTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
40 CAMPANELLI DR, BRAINTREE, MA 02184-5230
(781) 849-0828
Mailing address
100 STEAMBOAT DR, MARSHFIELD, MA 02050-4143
(207) 751-4016
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1655
MA
Other
Enumeration date
05/08/2018
Last updated
05/08/2018
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