Individual
MR. DANE CHRISTIAN DUREPO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BCBA
Contact information
Practice address
300 W MAIN ST, NORTHBOROUGH, MA 01532-2132
(413) 544-5118
Mailing address
1327 ALGER ST, WINCHENDON, MA 01475-2171
(978) 424-1818
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-21-54596
MA
Other
Enumeration date
02/12/2022
Last updated
02/12/2022
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