Samiyah T Mallory

NPI #1649008533 in Randolph, Massachusetts

Provider Information

NPI Number: 1649008533
Entity Type: Individual
Name: Samiyah T Mallory
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Jul 23, 2024
Last Updated: Jul 23, 2024

Practice Location

Address: 41 PACELLA PARK DR
City: Randolph
State: Massachusetts
ZIP Code: 02368-1755
Phone: (781) 440-0400

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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