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Individual

CHANAE ROMAIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1234 HYDE PARK AVE, HYDE PARK, MA 02136-2819
(888) 763-7272
(877) 243-2959
Mailing address
96 LINWOOD ST, BROCKTON, MA 02301-5624
(888) 763-7272
(877) 243-2959

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary

Other

Enumeration date
05/04/2026
Last updated
05/04/2026
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