Malayvanh Sarivong
NPI #1366936858 in Lancaster, Massachusetts
Provider Information
- NPI Number
- 1366936858
- Entity Type
- Individual
- Name
- Malayvanh Sarivong
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Behavior Technician
- Enumeration Date
- Jun 18, 2018
- Last Updated
- Jun 18, 2018
Practice Location
- Address
- 265 DEERSHORN RD # 4B
- City
- Lancaster
- State
- Massachusetts
- ZIP Code
- 01523-1873
- Phone
- (978) 221-4054
Specialties & Taxonomy Codes
| Specialty |
|---|
| Behavior Technician |
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