Individual
MARY MARGARET MARINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED., BCBA
Contact information
Practice address
135 BROADMEADOW ST, APT 8, MARLBOROUGH, MA 01752-3431
(617) 777-4115
Mailing address
135 BROADMEADOW ST, APT 8, MARLBOROUGH, MA 01752-3431
(617) 777-4115
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-13-12903
MA
Other
Enumeration date
11/15/2013
Last updated
11/15/2013
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