Individual
MRS. UYEN TRAN TAN LAROSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
639 GRANITE ST STE 230, BRAINTREE, MA 02184-5366
(561) 323-6593
(561) 997-1246
Mailing address
542 AMHERST ST, NASHUA, NH 03063-1016
(857) 701-2003
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-24-75453
MA
106S00000X
Behavior Technician
RBT-22-248581
MA
Other
Enumeration date
08/28/2020
Last updated
11/01/2024
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