Individual
OSE EGBIREMOLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
891 HYDE PARK AVE, BOSTON, MA 02136-3267
(617) 477-4050
Mailing address
226 BLUE LEDGE DR, ROSLINDALE, MA 02131-4834
(617) 959-3659
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
—
Other
Enumeration date
08/29/2017
Last updated
08/29/2017
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