Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 106E00000X | Assistant Behavior Analyst |
NPI | 1154891273 |
---|---|
Provider Name | Brittney D'antoni |
First Address | Milford, MA 01757-1750 |
Second Address | Milford, MA 01757-1750 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/12/2018 |
Last Update Date | 01/12/2018 |