Individual
GERALD LOFTUS III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
25 WAREHAM ST, MIDDLEBORO, MA 02346-2456
(508) 465-0417
(508) 465-0793
Mailing address
25 WAREHAM ST, MIDDLEBORO, MA 02346-2456
(508) 465-0417
(508) 465-0793
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
S22730577
MA
106S00000X
Behavior Technician
Primary
S22730577
MA
Other
Enumeration date
01/12/2017
Last updated
01/13/2017
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