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Kadiatou Djindji Bah

Behavior Technician in Randolph, MA. Individual provider (NPI-1).

NPI number1962016444
StatusActive
Last updated in NPPESSep 2, 2020

Details

NPI
1962016444
Entity type
Individual (NPI-1)
Name
Kadiatou Djindji Bah
Sex
Female
Sole proprietor
Yes
Enumeration date
Sep 2, 2020
Certification date
Aug 24, 2020
Last updated
Sep 2, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician––Yes

Practice location

75 N Main St Suite 628
Randolph, MA 02368

Phone 818-241-6780

Mailing address

75 N Main St Ste 628
Randolph, MA 02368-4605

Phone 818-241-6780

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