Individual
MRS. ANNE BROCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
100 MAIN ST, DOVER, NH 03820-3882
(603) 812-5521
Mailing address
100 MAIN ST, DOVER, NH 03820-3882
(603) 812-5521
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
2501-MH-BI
MA
Other
Enumeration date
01/06/2015
Last updated
05/30/2023
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