Individual
BLOOSYN JOSEPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
225 CEDAR HILL ST STE 200, MARLBOROUGH, MA 01752-5900
(954) 395-0582
Mailing address
2090 EAGLE NEST BLF, LAWRENCEVILLE, GA 30044-6360
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-20-118123
FL
Other
Enumeration date
09/02/2020
Last updated
09/02/2020
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