Individual
MRS. ANN PATRICIA POPPENGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.ED, BCBA
Contact information
Practice address
45 ROYAL AVE, HOLBROOK, MA 02343-1133
(781) 964-6366
Mailing address
PO BOX 256, HOLBROOK, MA 02343-0256
(781) 964-6366
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-03-1404
MA
Other
Enumeration date
11/23/2010
Last updated
11/23/2010
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