Individual
ALFRED BRAUN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8 FANEUIL HALL MARKETPLACE FL 3, BOSTON, MA 02109-6114
(617) 863-9090
Mailing address
54 WASHINGTON ST, LOWELL, MA 01851-3333
(978) 905-5706
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
S79009038
DRIVERS LICENSE NUMBER
MA
Enumeration date
06/18/2021
Last updated
06/18/2021
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