Individual
BENEDICT BLAKE MONACHINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
132 ROBBS HILL RD, LUNENBURG, MA 01462-2167
(508) 302-9601
Mailing address
81 ROCKWAY AVE APT 46, WEYMOUTH, MA 02188-4410
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/09/2019
Last updated
10/09/2019
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