Individual
ETHAN CHUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
103 COMMERCIAL ST, BROCKTON, MA 02302-3133
(508) 818-1705
Mailing address
37 DOROTHY RD, BROCKTON, MA 02302-1123
(508) 818-1705
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
MA
Other
Enumeration date
10/25/2025
Last updated
10/25/2025
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