Individual
AKEEM OMID RENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
66 STACY ST, RANDOLPH, MA 02368-1939
(401) 241-1570
Mailing address
66 STACY ST, RANDOLPH, MA 02368-1939
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/28/2024
Last updated
04/04/2025
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