Sinclair Fashaw-Braxton
Behavior Technician in Waltham, MA. Individual provider (NPI-1).
NPI number1982252599
StatusActive
Last updated in NPPESAug 27, 2019
Details
- NPI
- 1982252599
- Entity type
- Individual (NPI-1)
- Name
- Sinclair Fashaw-Braxton
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 27, 2019
- Last updated
- Aug 27, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
303 Wyman StreetSuite 354, 344, 345
Waltham, MA 02451
Phone 800-749-8507
Mailing address
1301 E Orangewood AveAnaheim, CA 92805-6807
Phone 800-249-1266
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