Individual
ANDREW COFFIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BHP, DSP, CRMA
Contact information
Practice address
95 NARRAGANSETT ST, GORHAM, ME 04038-1411
(207) 272-2723
Mailing address
95 NARRAGANSETT ST., GORHAM, ME 04038
(207) 272-2723
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
815224290
ME
106S00000X
Behavior Technician
Primary
815224290
ME
Other
Enumeration date
02/20/2017
Last updated
02/20/2017
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