Individual
MR. BRANDON KARL REUTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
152 SYLVAN ST STE 210, DANVERS, MA 01923-3558
(774) 213-2375
Mailing address
7 HIGHLAND AVE APT 4, BEVERLY, MA 01915-4973
(845) 546-3612
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-16-23060
VI
Other
Enumeration date
02/08/2019
Last updated
02/08/2019
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