Individual
MAKAYLA BRYN MERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
396 GRIFFIN RD UNIT 106, BANGOR, ME 04401-3023
(207) 573-1000
Mailing address
396 GRIFFIN RD UNIT 106, BANGOR, ME 04401-3023
(207) 573-1000
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-22-62067
ME
Other
Enumeration date
06/28/2023
Last updated
07/03/2023
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