Individual
JAMES RANDALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BCBA
Contact information
Practice address
33 PERRY AVE, ATTLEBORO, MA 02703-2417
(508) 455-6200
Mailing address
33 PERRY AVE, ATTLEBORO, MA 02703-2417
(508) 455-6200
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106S00000X
Behavior Technician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
111634200
—
FL
Enumeration date
11/29/2021
Last updated
09/16/2024
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