Individual
ANKINIMBOM SHANICE PEARL AKUM TOH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
148 EWALD AVE, MARLBOROUGH, MA 01752-1699
(617) 712-8644
Mailing address
148 EWALD AVE, MARLBOROUGH, MA 01752-1699
(617) 712-8644
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
106S00000X
—
Other
Enumeration date
10/23/2025
Last updated
10/24/2025
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