Individual
FARRAH JEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
25 KOVEY RD, HYDE PARK, MA 02136-1210
(857) 200-7675
Mailing address
25 KOVEY RD, HYDE PARK, MA 02136-1210
(857) 200-7675
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
11/04/2020
Last updated
11/04/2020
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