Individual
MRS. SOKHORN JERDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
64H CONCORD ST, WILMINGTON, MA 01887-2179
(781) 333-5310
(339) 227-6968
Mailing address
64H CONCORD ST, WILMINGTON, MA 01887-2179
(781) 333-5310
(339) 227-6968
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
2596
MA
Other
Enumeration date
06/20/2011
Last updated
03/05/2019
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