Marissa Ann Breault

NPI #1124511811 in Wakefield, Massachusetts

Provider Information

NPI Number: 1124511811
Entity Type: Individual
Name: Marissa Ann Breault
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Jun 7, 2018
Last Updated: Jun 11, 2018

Practice Location

Address: 301 EDGEWATER PL
City: Wakefield
State: Massachusetts
ZIP Code: 01880
Phone: (413) 388-9822

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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