Individual
ABENAA KOBI AMPEM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
100 FOXBOROUGH BLVD FL 1, FOXBOROUGH, MA 02035-2882
(844) 923-4222
Mailing address
5 FALES ST APT 3B, WORCESTER, MA 01606-2052
(617) 991-5655
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-25-79073
MA
Other
Enumeration date
11/08/2017
Last updated
02/17/2025
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