Samuel Fahey Gagnon
NPI #1982310074 in Lowell, Massachusetts
Provider Information
- NPI Number
- 1982310074
- Entity Type
- Individual
- Name
- Samuel Fahey Gagnon
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Behavior Technician
- Enumeration Date
- Jan 23, 2023
- Last Updated
- Jan 23, 2023
Practice Location
- Address
- 65 TOLMAN AVE
- City
- Lowell
- State
- Massachusetts
- ZIP Code
- 01854-2229
- Phone
- (603) 401-1824
Specialties & Taxonomy Codes
| Specialty |
|---|
| Behavior Technician |
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