Individual
BRENT ALAN BARGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BCBA, LABA
Contact information
Practice address
11 MIDSTATE DR, AUBURN, MA 01501-1881
(800) 679-3609
Mailing address
12 PERRY ST APT 18, NORTH GRAFTON, MA 01536-1555
(308) 631-0401
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
LABA10001714
MA
Other
Enumeration date
08/13/2025
Last updated
08/13/2025
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