Individual
AMANDA GRABEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
215 ASH ST, APT 4, WALTHAM, MA 02453-5135
(781) 856-0669
Mailing address
215 ASH ST, APT 4, WALTHAM, MA 02453-5135
(781) 856-0669
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-14-15815
MA
Other
Enumeration date
06/12/2016
Last updated
06/12/2016
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