Bryan Edwin Negrete

NPI #1194321588 in Randolph, Massachusetts

Provider Information

NPI Number: 1194321588
Entity Type: Individual
Name: Bryan Edwin Negrete
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Dec 10, 2020
Last Updated: Dec 10, 2020

Practice Location

Address: 75 N MAIN ST STE 628
City: Randolph
State: Massachusetts
ZIP Code: 02368-4605
Phone: (818) 241-6780

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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