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Phil Gaumond

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

NPI number1962070565
StatusActive
Last updated in NPPESJun 11, 2021

Details

NPI
1962070565
Entity type
Individual (NPI-1)
Name
Phil Gaumond
Sex
Male
Sole proprietor
No
Enumeration date
Jun 11, 2021
Certification date
Jun 11, 2021
Last updated
Jun 11, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician––Yes

Practice location

4001 N Main St Apt 407
Fall River, MA 02720-1644

Phone 774-313-6420

Mailing address

4001 N Main St Apt 407
Fall River, MA 02720-1644

Phone 774-313-6420

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