Individual
BYRON DAVID WATSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
33 BEVERLY DR, BRUNSWICK, ME 04011-9117
(207) 319-6466
Mailing address
33 BEVERLY DR, BRUNSWICK, ME 04011-9117
(207) 319-6466
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
999999
ME
Other
Enumeration date
07/06/2018
Last updated
07/06/2018
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