Individual
MR. BRYAN PADON ANTHONY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RBT
Contact information
Practice address
80 WASHINGTON ST, NORWELL, MA 02061-1740
(781) 290-3886
Mailing address
4 WESTGATE LN, SCITUATE, MA 02066-2410
(617) 218-7775
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-24-383181
MA
Other
Enumeration date
10/07/2024
Last updated
10/07/2024
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