Individual
ANNTOINETTE SIMONE FRANCIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
23 GRANTLEY ST, HYDE PARK, MA 02136-2644
(857) 247-8242
Mailing address
23 GRANTLEY ST UNIT B, HYDE PARK, MA 02136-2644
(857) 247-8242
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
123456
N/A
—
Enumeration date
06/28/2019
Last updated
06/28/2019
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