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Individual

SAMANTHA FAY BRAWLEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MA, BCBA, LABA

Contact information

Practice address
51 JENNESS ST, QUINCY, MA 02169-1629
(617) 828-8184
Mailing address
51 JENNESS ST, QUINCY, MA 02169-1629
(617) 828-8184

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
3311
MA

Other

Enumeration date
01/04/2021
Last updated
01/04/2021
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