Individual
ISMAELLE EDMORIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
103 COMMERCIAL ST STE 2, BROCKTON, MA 02302-3133
(508) 580-4691
Mailing address
734 S MAIN ST, RANDOLPH, MA 02368-5542
(857) 249-8292
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
222Q00000X
Developmental Therapist
Primary
—
MA
Other
Enumeration date
10/09/2024
Last updated
04/15/2026
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