Individual
MR. BRENDAN TUBBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BCBA, LABA, LBA
Contact information
Practice address
1 RIVER ST, ERVING, MA 01344-4403
(413) 422-1227
Mailing address
1 RIVER ST, ERVING, MA 01344-4403
(413) 422-1227
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
795
MA
Other
Enumeration date
12/27/2010
Last updated
04/20/2017
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