Individual
ADAM BRIAN CARMODY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1861 DORCHESTER AVE # 4, BOSTON, MA 02124-2426
(781) 941-6483
Mailing address
1861 DORCHESTER AVE # 4, BOSTON, MA 02124-2426
(781) 941-6483
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
S33124954
MA
Other
Enumeration date
03/30/2017
Last updated
03/30/2017
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