Individual
JOHN BENJAMIN BARNES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
6 STUBTOE LN, SUDBURY, MA 01776-1658
(781) 413-1215
Mailing address
6 STUBTOE LN, SUDBURY, MA 01776-1658
(781) 413-1215
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11044
STATE LICENSE
MA
Enumeration date
04/03/2019
Last updated
12/08/2023
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