Individual
MICHAEL BRODMERKLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
39 MAIN ST, LUNENBURG, MA 01462-1428
(978) 790-5793
Mailing address
12 MARSHALL ST APT 3, WORCESTER, MA 01604-2869
(978) 204-3215
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
4230
MA
Other
Enumeration date
02/03/2020
Last updated
01/31/2024
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