Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 106S00000X | Behavior Technician |
NPI | 1003410572 |
---|---|
Provider Name | Sarah A Daly |
First Address | Norwell, MA 02061 |
Second Address | Norwell, MA 02061-1742 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 25/11/2020 |
Last Update Date | 25/11/2020 |