Individual
ABIGAIL GRACE DENEKAMP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12 CHILDS LN, FOXBOROUGH, MA 02035-2815
(909) 214-7678
Mailing address
12 CHILDS LN, FOXBOROUGH, MA 02035-2815
(909) 214-7678
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
24368942
MA
Other
Enumeration date
08/20/2024
Last updated
08/20/2024
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