Phisit Randy Chreung

NPI #1457945867 in Stoughton, Massachusetts

Provider Information

NPI Number: 1457945867
Entity Type: Individual
Name: Phisit Randy Chreung
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Feb 25, 2021
Last Updated: Feb 25, 2021

Practice Location

Address: 90 HAWES WAY
City: Stoughton
State: Massachusetts
ZIP Code: 02072-1163
Phone: (781) 573-8129

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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