Individual
JUSTIN VALANZOLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.ED, LABA, BCBA
Contact information
Practice address
101 PLAIN ST, NORTON, MA 02766-2907
(774) 219-7398
Mailing address
PO BOX 643, MANSFIELD, MA 02048-0643
(774) 219-7398
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1399
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1399
—
MA
Enumeration date
11/13/2016
Last updated
11/13/2016
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